Individual
LANNY L ODEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
C-FA
Contact information
Practice address
1186 E REDFIELD RD, TEMPE, AZ 85283-5732
(480) 545-2610
(480) 545-2673
Mailing address
1186 E REDFIELD RD, TEMPE, AZ 85283-5732
(480) 545-2610
(480) 545-2673
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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