Individual
MR. ROBERT SCOTT ODEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, PHARM.D.
Contact information
Practice address
332 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1793
(757) 473-8400
(757) 473-0712
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 968-5700
(804) 217-7991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/12/2006
Last updated
10/23/2012
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