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Individual

JORDAN ODDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7590 AUBURN RD, CONCORD TWP, OH 44077-9176
(440) 375-8100
Mailing address
4019 CHURCH ST, WILLOUGHBY, OH 44094-6205
(440) 477-3081

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
50.006652RX
OH
363A00000X
Physician Assistant
Primary
50.006652RX
OH

Other

Enumeration date
10/09/2020
Last updated
09/26/2023
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