| NPI | 1700175536 |
|---|---|
| Other Name | RYAN ODOM |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-15606) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2014-00995) |
| 207Q00000X Family Medicine (Licence: IA 48734) | |
| 207Q00000X Family Medicine (Licence: NE 26919) | |
| 207Q00000X Family Medicine (Licence: NV 16240) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2024-02-16 |