Individual
DR. JEFFREY DOUGLAS O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1355 MARINERS DR, WARSAW, IN 46582-7145
(574) 267-6778
(574) 267-3134
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101232521
VA
208000000X
Pediatrics Physician
Primary
01084702A
IN
Other
Enumeration date
01/17/2006
Last updated
04/20/2023
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