Individual
DR. MICHAEL RYAN ODOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14402 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-2167
(509) 922-2625
(877) 521-3642
Mailing address
1593 E POLSTON AVE, POST FALLS, ID 83854-5326
(208) 262-2300
(208) 262-2349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16240
NV
207Q00000X
Family Medicine Physician
2014-00995
NC
207Q00000X
Family Medicine Physician
26919
NE
207Q00000X
Family Medicine Physician
48734
IA
207Q00000X
Family Medicine Physician
Primary
M-15606
ID
Other
Enumeration date
04/01/2011
Last updated
02/16/2024
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