Individual
BURTRAM J ODENHEIMER
Active
Individual
BURTRAM J ODENHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17051
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001925
BCBS
KS
01
—
12149473
MULTIPLAN
KS
01
—
16913
COVENTRY
KS
01
—
200140
HPK
KS
01
—
690
PHS
KS
Enumeration date
06/27/2006
Last updated
07/13/2007
Update your record
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