MICHAEL J ODELL

ST LOUIS, MO
NPI1902824717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: MO  2006002693)
Enumeration Date2006-07-18
Last Update Date2008-01-09
Business Address
-- MICHAEL J ODELL MD
3660 VISTA
ST LOUIS, MO 63110
Phone number: 314-577-8887
Mailing Address
-- MICHAEL J ODELL MD
3691 RUTGER AVE PROVIDER ENROLLMENT
ST LOUIS, MO 63110
Phone number: 314-977-4440
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