Individual
BRIAN R. ODUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
615 S. NEW BALLAS RD, ST. LOUIS, MO 63141
(314) 251-6000
(573) 884-4612
Mailing address
660 OFFICE PARKWAY, ST. LOUIS, MO 63141-7103
(314) 991-3556
(314) 991-0691
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2014001410
MO
Other
Enumeration date
06/23/2010
Last updated
02/23/2017
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