Leanne Odom is a Medical in Tulsa, Oklahoma. Leanne Odom practices all healthcare services and medical treatments related to Medical. The NPI Number for Leanne Odom is 1245429687. The last update date is 2007-10-22.
Leanne Odom's current location address is 4802 S 109th East Ave, Tulsa, Oklahoma. You can contact this provider via phone number 9183921400 and fax number 9183921488. The mailing address for Leanne Odom is 4802 S 109th East Ave, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leanne Odom |
|---|---|
| Address | 4802 S 109th East Ave, Tulsa, Oklahoma |
| Phone Number | 9183921400 |
| Fax Number | 9183921488 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1245429687 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2007-10-22 |
Provider Mailing Address Detail
| Address | 4802 S 109th East Ave |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741465822 |
| Phone Number | 9183921400 |
| Fax Number | 9183921488 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1672 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the Leanne Odom's 1245429687?
The Leanne Odom's NPI (National Provider Identifier) Number is 1245429687. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Leanne Odom?
The Leanne Odom is physically situated at 4802 S 109Th East Ave, in the city of Tulsa, state of OK, with the postal code 741465822.
What is Leanne Odom's specialized field of practice, and what is the corresponding taxonomy classification code?
The Leanne Odom's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date was the 1245429687 assigned to Leanne Odom?
The Leanne Odom was issued its 1245429687 on 2007-10-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Leanne Odom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Leanne Odom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-22.