IndividualActive
Glenn Donnelly, D.O., MPH
NPI 1730169400 · Aerospace Medicine Physician · Patrick Afb, FL
Provider details
- NPI number
- 1730169400
- Entity type
- Individual
- Primary specialty
- Aerospace Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O., MPH
- Sex
- Male
- Sole proprietor
- No
- License
- L6867 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Phone: (318) 828-3856
Approximate (ZIP-level) locationGet directions
Mailing address
1381 S Patrick Dr
Patrick Afb, FL 32925-3606
Registry dates
- Enumerated
- 2006-01-19
- Last updated
- 2012-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.