Individual
ODIANOSEN EIGBIRE-MOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10810 EXECUTIVE CENTER DR STE 100, LITTLE ROCK, AR 72211-4386
(501) 604-2695
(501) 604-2699
Mailing address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(314) 757-7869
(314) 577-8374
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
E-15116
AR
390200000X
Student in an Organized Health Care Education/Training Program
999999
—
Other
Enumeration date
04/06/2017
Last updated
08/25/2022
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