Organization
RICHARD H ODELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD H ODELL MD (PHYSICIAN)
(801) 272-4219
Entity
Organization
Contact information
Practice address
1345 E 3900 S. SUITE 110, SALT LAKE CITY, UT 84124
(801) 272-4219
Mailing address
1345 E 3900 S STE 110, SALT LAKE CITY, UT 84124-4403
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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