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Organization

ODYSSEY INFUSIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB S OOMMEN M.D. (GENERAL PARTNER)
(480) 907-6337
Entity
Organization

Contact information

Practice address
1600 W CHANDLER BLVD, SUITE 160, CHANDLER, AZ 85224-6153
(480) 907-6337
(480) 621-8107
Mailing address
4022 E PRESIDIO ST, MESA, AZ 85215-1113
(480) 985-1093
(480) 296-7643

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary

Other

Enumeration date
10/03/2011
Last updated
10/03/2011
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