# ODDVAR A. MYHRE, M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194899765
- **Authorized official:** DR. ODDVAR A MYHRE M.D. (PRESIDENT)
- **Authorized official phone:** (310) 963-5739

## Contact information

- **Practice address:** 79146 CETRINO, LA QUINTA, CA 92253-6544
- **Practice address phone:** (310) 963-5739
- **Practice address fax:** (310) 545-8561
- **Mailing address:** 79146 CETRINO, LA QUINTA, CA 92253-6544
- **Mailing address phone:** (310) 963-5739
- **Mailing address fax:** (310) 545-8561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | A22327 | CA | Yes |

## Other

- **Enumeration date:** 11/17/2006
- **Last updated:** 10/08/2007