Randy O Odero is a Infectious Disease in Phoenix, Arizona. Randy O Odero practices all healthcare services and medical treatments related to Infectious Disease. The NPI Number for Randy O Odero is 1417167313. The last update date is 2018-09-28.
Randy O Odero's current location address is 1930 E Thomas Rd, Phoenix, Arizona. You can contact this provider via phone number 6025321700 and fax number 6025321701. The mailing address for Randy O Odero is 1930 E Thomas Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randy O Odero |
|---|---|
| Address | 1930 E Thomas Rd, Phoenix, Arizona |
| Phone Number | 6025321700 |
| Fax Number | 6025321701 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417167313 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2018-09-28 |
Provider Mailing Address Detail
| Address | 1930 E Thomas Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850167711 |
| Phone Number | 6025321700 |
| Fax Number | 6025321701 |
Provider's Primary Taxonomy Detail
| Speciality | Infectious Disease |
|---|---|
| Taxonomy | 207Ri0200X |
| Licence No | 41308 |
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Definition: An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers whi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 438170 | AZ | -- | |
| 41308 | AZ | LICENSE |
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What is the unique identification code assigned to Randy O Odero by the Centers for Medicare & Medicaid Services?
The Randy O Odero has been issued the NPI (National Provider Identifier) 1417167313. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Randy O Odero's physical address?
The Randy O Odero is physically located at 1930 E Thomas Rd, in the city of Phoenix, AZ, with the postal code 850167711.
What is Randy O Odero's specialized field of practice, and what is the corresponding taxonomy classification code?
The Randy O Odero's area of specialization is Infectious Disease, and the corresponding taxonomy code that categorizes this field of practice is 207Ri0200X.
On what date did the Randy O Odero receive the assignment of its 1417167313 from the Centers for Medicare & Medicaid Services?
The Randy O Odero was issued its 1417167313 by the Centers for Medicare & Medicaid Services on 2007-05-22.
As of what date were the Randy O Odero's details last updated?
The information pertaining to the Randy O Odero, including its address, specialty, and other details, was most recently updated on 2018-09-28.
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