Individual
MR. JUSTIN ODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
221 PIIKEA AVE, SUITE A, KIHEI, HI 96753-8268
(808) 874-8100
(808) 874-6887
Mailing address
221 PIIKEA AVE, SUITE A, KIHEI, HI 96753-8268
(808) 874-8100
(808) 874-6887
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
AMD-553
HI
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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