Individual
DEIRDRE CATHERINA MCDONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1101 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8016
(812) 477-7246
(270) 554-8987
Mailing address
1101 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8016
(812) 477-7246
(270) 554-8987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01091149A
IN
207R00000X
Internal Medicine Physician
12160
GA
208VP0014X
Interventional Pain Medicine Physician
01091149A
IN
208VP0014X
Interventional Pain Medicine Physician
58408
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300080096
—
IN
Enumeration date
03/27/2020
Last updated
11/27/2024
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