Individual provider · Type 1 NPI

Colleen Odonnell, P.A.

Surgical Physician Assistant · Layton, UT

NPI number 1942290804 Active

Practice location

2132 N 1700 W Ste 230
Layton, UT 84041-7060

Call (801) 773-3900 Map

Fax (801) 773-3900

Mailing address

4017 N Wolf Creek Dr
Eden, UT 84310-9894

Other practice locations

  • 1407 N 2000 W Ste F, Clinton, UT 84015-8563 · (801) 773-3900

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X007859-1 (NY)
Surgical Physician Assistant Primary 363AS0400X6526009-1206 (UT)

Surgical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1942290804

Colleen Odonnell, P.A.'s National Provider Identifier is 1942290804, issued on Oct 24, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Layton, UT. The record was last updated on Mar 17, 2018.