Individual
TIMOTHY W. ODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 FOOTHILL BLVD, MADSEN HEALTH CLINIC, SALT LAKE CITY, UT 84112
(801) 581-7790
Mailing address
PO BOX 581700, SALT LAKE CITY, UT 84158-1700
(801) 213-3800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
186056-1205
UT
Other
Enumeration date
10/13/2006
Last updated
11/10/2021
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