Individual
SHAUN VERNON ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 442-3059
Mailing address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2675
(206) 987-2685
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
9394929-1205
UT
Other
Enumeration date
05/01/2009
Last updated
09/30/2021
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