Organization
DWIGHT O'DELL, M.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT WILLIAM O'DELL M.D. (PRESIDENT)
(618) 233-5998
Entity
Organization
Contact information
Practice address
4550 MEMORIAL DR, SUITE 200, BELLEVILLE, IL 62226-5359
(618) 233-5998
(618) 233-6001
Mailing address
4550 MEMORIAL DR, SUITE 200, BELLEVILLE, IL 62226-5359
(618) 233-5998
(618) 233-6001
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
IL
Other
Enumeration date
09/02/2006
Last updated
10/09/2007
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