Individual
CARLA ANN O'DAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CHP REGIONAL MEDICAL CENTER, 3700 KOLBE RD, LORAIN, OH 44053-1611
(440) 960-3000
Mailing address
19425 FRAZIER DR, ROCKY RIVER, OH 44116
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35044010
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0436273
—
OH
01
—
942460636441
CARESOURCE
OH
01
—
P00320009
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
06/08/2006
Last updated
07/08/2007
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