Individual
DR. DAVID MICHAEL ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15400 W 64TH AVE UNIT 9E, SUITE 14, ARVADA, CO 80007-6852
(303) 422-3909
(303) 422-2192
Mailing address
15400 W 64TH AVE UNIT 9E, SUITE 14, ARVADA, CO 80007-6852
(303) 422-3909
(303) 422-2192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35741
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01357417
—
CO
01
—
015122
KAISER COMMERCIAL NUMBER
CO
Enumeration date
08/04/2006
Last updated
08/15/2016
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