Sam William Odle O.D

NPI 1053392936 - Optometrist - 152W00000X

NPI Details
NPI 1053392936
Gender Male
Enumeration Date 11/08/2005
Last Updated 06/25/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
3012 ANDERSON AVE
MANHATTAN KS, 66503-2809, US
Phone (785) 537-1118
Fax (785) 537-8005
Business Location
2800 SW WANAMAKER RD
SUITE 192
TOPEKA KS, 66614-4293, US
Phone (785) 272-0707
Fax (785) 271-1512
Toxanomy
Taxonomy Code 152W00000X
License State Kansas
License Number KS-1199-2
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According to our database, Dr. Sam William Odle O.D NPI is 1053392936, taxonomy code is 152W00000X and license number is KS-1199-2, license state is located at Kansas. Sam William Odle O.D physically located at 3012 Anderson Ave, Manhattan KS, 66503-2809. NPI Number Sam William Odle O.D has the Individual type.

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1053392936 NPI number is provided on an as is basis without warranty of any kind. 1053392936 is maintained by the National Plan & Provider Enumeration System. The contents of Sam William Odle O.D are for informational purposes only.