Individual
TONIA ODDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
731 MAIN ST, JEWELL, IA 50130-2040
(515) 827-6175
(515) 827-6189
Mailing address
PO BOX 430, WEBSTER CITY, IA 50595-0430
(515) 832-9400
(515) 832-9420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
001516
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283465
—
IA
05
—
0293522
—
IA
01
—
03253
MEDICARE HOSPITAL PART B
IA
05
—
0424507
—
IA
05
—
0600460
—
IA
05
—
0635011
—
IA
05
—
0655001
—
IA
01
—
29352
BCBS ER
IA
01
—
33444
FPC BCBS NRH
IA
01
—
36174
BCBS DME
IA
01
—
60046
BCBS REG
IA
01
—
66046
BCBS SNF
IA
Enumeration date
06/09/2006
Last updated
03/16/2021
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