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John A Odom JR., MD
Specialist in Lone Tree, Colorado
NPI 1073514766

John A Odom JR. is a Specialist based in Lone Tree, CO. John A Odom JR. practices in Lone Tree, CO and has the professional credentials of MD. The NPI Number for John A Odom JR. is 1073514766 and holds a License No. (Colorado).

The current practice location address for John A Odom JR. is 10103 Ridgegate Pkwy, Lone Tree, CO and can be reached out via phone at 303-225-8120 and via fax at 303-225-8130. You can also correspond with John A Odom JR. through the mailing address at 10103 RIDGEGATE PKWY, LONE TREE, CO - 80124-5525 (mailing address contact number: 303-225-8120).

Location: 10103 Ridgegate Pkwy, Lone Tree, CO, 80124-5525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073514766
Provider Name
John A Odom JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10103 Ridgegate Pkwy, Lone Tree, CO, 80124-5525
Phone Number
303-225-8120
Fax Number
303-225-8130
Provider Enumeration Date
08/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01158716 05 CO
34379 01 CO BSBC
institution
Provider Business Practice Location Address Details
Address
10103 Ridgegate Pkwy
City
Lone Tree
State
Colorado
Zip
80124-5520
Phone Number
303-225-8120
Fax Number
303-225-8130
person
Provider Business Mailing Address Details
Address
10103 Ridgegate Pkwy
City
Lone Tree
State
Colorado
Zip
80124-5520
Phone Number
303-225-8120
Fax Number
303-225-8130
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Colorado)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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