Individual
TODD ODEGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 SOUTH 4TH STREET, KREMMLING, CO 80459-0399
(970) 887-5800
Mailing address
214 SOUTH 4TH STREET, KREMMLING, CO 80459-0399
(970) 887-5800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0061953
CO
Other
Enumeration date
05/10/2017
Last updated
06/24/2021
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