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Mark Edward O'donnell, IDC
Military Health Care Provider in Silverdale, Washington
NPI 1023311024

Mark Edward O'donnell is a Military Health Care Provider based in Sliverdale, WA. Mark Edward O'donnell practices in Silverdale, WA and has the professional credentials of IDC. The NPI Number for Mark Edward O'donnell is 1023311024 and holds a License No. (Washington).

The current practice location address for Mark Edward O'donnell is 2100 Thresher Ave, Silverdale, WA and can be reached out via phone at 360-396-4206. You can also correspond with Mark Edward O'donnell through the mailing address at 2100 THRESHER AVE, SLIVERDALE, WA - 98315 (mailing address contact number: ).

Location: 2100 Thresher Ave, Silverdale, WA, 98315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023311024
Provider Name
Mark Edward O'donnell
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
2100 Thresher Ave, Silverdale, WA, 98315
Phone Number
360-396-4206
Fax Number
Provider Enumeration Date
12/13/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2100 Thresher Ave
City
Silverdale
State
Washington
Zip
98315-2103
Phone Number
360-396-4206
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Thresher Ave
City
Silverdale
State
Washington
Zip
98315-2103
Phone Number
360-396-4206
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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