Individual
COLBY ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16820 STATE HIGHWAY 9 E, EUFAULA, OK 74432-5220
(918) 452-3133
Mailing address
1608 BLUE JAY LN, MUSKOGEE, OK 74403-8405
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OK
Other
Enumeration date
12/18/2019
Last updated
07/22/2024
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