Timothy W. Odell MD

NPI 1972693588 - Internal Medicine - 207R00000X

NPI Details
NPI 1972693588
Gender Male
Enumeration Date 10/13/2006
Last Updated 08/14/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
555 FOOTHILL BLVD
MADSEN HEALTH CLINIC
SALT LAKE CITY UT, 84112, US
Phone (801) 581-7790
Fax
Business Location
PO BOX 581700
SALT LAKE CITY UT, 84158-1700, US
Phone (801) 213-3800
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Utah
License Number 186056-1205
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According to our database, Timothy W. Odell MD NPI is 1972693588, taxonomy code is 207R00000X and license number is 186056-1205, license state is located at Utah. Timothy W. Odell MD physically located at 555 Foothill Blvd, Salt Lake City UT, 84112. NPI Number Timothy W. Odell MD has the Individual type.

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1972693588 NPI number is provided on an as is basis without warranty of any kind. 1972693588 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy W. Odell MD are for informational purposes only.