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Individual

LEO ODLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3420 S MERCY RD STE 101, GILBERT, AZ 85297-0420
(480) 899-4420
(480) 219-3214
Mailing address
1684 E BOSTON ST, STE. 101, GILBERT, AZ 85295-6219
(480) 899-4420
(480) 219-3214

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3357
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
465618
AZ
Enumeration date
10/11/2006
Last updated
11/22/2023
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