Organization
ODERO CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY O ODERO M.D (MD)
(405) 563-3998
Entity
Organization
Contact information
Practice address
7000 N 16TH ST STE 120, PHOENIX, AZ 85020-5524
(855) 541-2862
(405) 716-4808
Mailing address
7000 N 16TH ST, STE 120 # 199, PHOENIX, AZ 85020-5524
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
41308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
438170
—
AZ
Enumeration date
04/07/2015
Last updated
10/19/2020
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