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Organization
ALICIA J. ODUM, MD PA
Active
Organization
ALICIA J. ODUM, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA ODUM (MD)
(202) 316-1726
Entity
Organization
Contact information
Practice address
1625 PICCARD DR, UNIT 402, ROCKVILLE, MD 20850-7600
(202) 316-1726
Mailing address
PO BOX 8484, GAITHERSBURG, MD 20898-8484
(202) 316-1726
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
DO60844
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457363517
INDIVIDUAL NPI
MD
Enumeration date
01/01/2014
Last updated
01/01/2014
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