# ODULIO CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BENITO V ODULIO MD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649440843
- **Legal business name:** BENITO V ODULIO MD
- **Authorized official:** DR. BENITO VILLATLOR ODULIO MD (SOLO PRACTITIONER)
- **Authorized official phone:** (812) 849-0521

## Contact information

- **Practice address:** 92 STATE RD 60E, MITCHELL, IN 47446
- **Practice address phone:** (812) 849-0521
- **Practice address fax:** (812) 849-9457
- **Mailing address:** 92 STATE RD 60E, MITCHELL, IN 47446
- **Mailing address phone:** (812) 849-0521
- **Mailing address fax:** (812) 849-9457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | IN | — |
| 208D00000X | General Practice Physician | — | IN | Yes |

## Other

- **Enumeration date:** 03/04/2008
- **Last updated:** 03/04/2008