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Individual
DR. MICHAEL RYAN ODOM
Active
Individual
DR. MICHAEL RYAN ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16240
NV
207Q00000X
Family Medicine Physician
2014-00995
NC
207Q00000X
Family Medicine Physician
26919
NE
207Q00000X
Family Medicine Physician
48734
IA
207Q00000X
Family Medicine Physician
Primary
M-15606
ID
Other
Enumeration date
04/01/2011
Last updated
09/29/2026
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