Individual
BRANT A ODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2955 S BROADWAY, ENGLEWOOD, CO 80113-1526
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A 10493
CA
207Q00000X
Family Medicine Physician
Primary
45633
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018625
KAISER COMMERCIAL NUMBER
CO
05
—
10950842
—
CO
Enumeration date
01/26/2007
Last updated
06/10/2021
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