Leandre W. Odom D.O.

NPI 1003846809 - Family Medicine - 207Q00000X

NPI Details
NPI 1003846809
Gender Male
Enumeration Date 07/04/2006
Last Updated 07/06/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2313 E MAIN ST
SUITE B
NEW IBERIA LA, 70560-4091, US
Phone (337) 560-5323
Fax (337) 560-4666
Business Location
2313 E MAIN ST
SUITE B
NEW IBERIA LA, 70560-4091, US
Phone (337) 560-5323
Fax (337) 560-4666
Toxanomy
Taxonomy Code 207Q00000X
License State Louisiana
License Number 025417
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According to our database, Dr. Leandre W. Odom D.O. NPI is 1003846809, taxonomy code is 207Q00000X and license number is 025417, license state is located at Louisiana. Leandre W. Odom D.O. physically located at 2313 E Main St, New Iberia LA, 70560-4091. NPI Number Leandre W. Odom D.O. has the Individual type.

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1003846809 NPI number is provided on an as is basis without warranty of any kind. 1003846809 is maintained by the National Plan & Provider Enumeration System. The contents of Leandre W. Odom D.O. are for informational purposes only.