Individual
RICHARD HAL O'DELL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3330 NW 56TH, SUITE 206, OKLAHOMA CITY, OK 73112-4426
(405) 945-4710
(405) 945-4751
Mailing address
3330 NW 56TH, SUITE 206, OKLAHOMA CITY, OK 73112-4426
(405) 945-4710
(405) 265-6308
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
17921
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065450A
—
OK
01
—
P00415260
MEDICARE RR LLC
OK
Enumeration date
04/27/2006
Last updated
09/25/2014
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