Individual
DR. RANDY O ODERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1930 E THOMAS RD, PHOENIX, AZ 85016-7711
(602) 532-1700
(602) 532-1701
Mailing address
7000 N 16TH ST STE 120, PHOENIX, AZ 85020-5524
(405) 796-8367
(602) 428-6999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41308
AZ
207RI0200X
Infectious Disease Physician
Primary
41308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41308
LICENSE
AZ
05
—
438170
—
AZ
Enumeration date
05/22/2007
Last updated
09/28/2018
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