NPI | 1275557886 |
---|---|
Doing Business As | ODOM HEALTH & WELLNESS |
Entity Type | Organization |
Authorized Contact | JOHN H ODOM President 952-224-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
Enumeration Date | 2006-07-27 |
Last Update Date | 2024-04-23 |