Individual
MS. MARTHA LOUISE ODEGAARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., O.M.D.
Contact information
Practice address
343 S MONTEZUMA ST, PRESCOTT, AZ 86303-7022
(928) 445-2900
Mailing address
1235 CROWN RIDGE DR, PRESCOTT, AZ 86301-6554
(619) 838-8026
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
012259
AZ
171100000X
Acupuncturist
Primary
AC3113
CA
Other
Enumeration date
02/12/2007
Last updated
09/30/2025
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