Individual
IRENE OSARO ODIGIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9321 SANGER ST, LORTON, VA 22079-2720
(703) 982-8324
(703) 982-8351
Mailing address
9321 SANGER ST, LORTON, VA 22079-2720
(703) 982-8324
(703) 982-8351
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101252923
VA
207P00000X
Emergency Medicine Physician
D0070177
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/21/2007
Last updated
10/30/2013
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