Individual
MICHAEL D. ODGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA, RT(R)(CT)
Contact information
Practice address
938 BANNOCK ST, STE 300, DENVER, CO 80204-4028
(303) 914-8800
Mailing address
938 BANNOCK ST, STE 300, DENVER, CO 80204-4028
(303) 914-8800
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
—
—
247100000X
Radiologic Technologist
—
—
2471C3401X
Computed Tomography Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04004826
—
CO
Enumeration date
02/27/2007
Last updated
12/04/2009
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