Individual
DAVID E ODEGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7710 MERCY RD, SUITE 426, OMAHA, NE 68124-2372
(402) 717-3636
(402) 717-5050
Mailing address
PO BOX 642117, OMAHA, NE 68164-8117
(402) 398-6248
(402) 829-8513
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5030
NE
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25123
NE
Other
Enumeration date
04/23/2007
Last updated
03/07/2023
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