Individual
DANIEL JOSEPH O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 NW 13TH ST, OKLAHOMA CITY, OK 73103-3711
(405) 272-8326
(405) 272-7963
Mailing address
400 NW 13TH ST, OKLAHOMA CITY, OK 73103-3711
(405) 272-8326
(405) 272-7963
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2054
OK
Other
Enumeration date
12/05/2011
Last updated
10/21/2014
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