Individual
STEVEN R O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A. - C
Contact information
Practice address
4625 S WESTERN AVE, OKLAHOMA CITY, OK 73109
(405) 632-2323
(405) 631-9315
Mailing address
PO BOX 95818, OKLAHOMA CITY, OK 73143-5818
(405) 632-2323
(405) 631-9315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1321
OK
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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