Individual
STEFAN CHRISTOPHER ODDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9605 JEFFERSON HWY STE G, RIVER RIDGE, LA 70123-2550
(504) 739-9494
Mailing address
415 SCHLIEF DR, BELLE CHASSE, LA 70037-2320
(504) 415-4457
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
310488
LA
Other
Enumeration date
09/05/2018
Last updated
10/12/2018
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