Individual
AMY ODOM HARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 S ADAMS ST, STILLWATER, OK 74074-5476
(405) 742-7300
Mailing address
PO BOX 720006, NORMAN, OK 73070-4006
(502) 381-1446
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
36743
KY
208000000X
Pediatrics Physician
Primary
32295
OK
208000000X
Pediatrics Physician
36743
KY
2080P0203X
Pediatric Critical Care Medicine Physician
36743
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64017031
—
KY
Enumeration date
11/30/2005
Last updated
08/13/2021
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