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Individual

MR. TODD LEE ODEKIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7030 S YOSEMITE ST, CENTENNIAL, CO 80112-2026
(303) 721-9984
(303) 996-0433
Mailing address
446 MEADOW STATION CIR, PARKER, CO 80138-4449
(720) 842-0772
(720) 842-0773

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3401
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
841531327
PRIMARY OFFICETAX ID
CO
Enumeration date
12/12/2006
Last updated
09/05/2007
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