Individual
DR. DWIGHT WILLIAM O'DELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4550 MEMORIAL DR, STE 200, BELLEVILLE, IL 62226-5359
(618) 233-5998
(618) 233-6001
Mailing address
4550 MEMORIAL DR, STE 200, BELLEVILLE, IL 62226-5359
(618) 233-5998
(618) 233-6001
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
IL
Other
Enumeration date
05/23/2006
Last updated
09/18/2007
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