David Devaul Odineal
General Practice Physician
9040 Jackson Ave
Tacoma
, Washington 98431-2200
David Devaul Odineal
General Practice Physician
9040 Jackson Ave
Tacoma
, Washington 98431-2200
(253) 968-2972
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- David Devaul Odineal
- 9040 Jackson Ave
- Tacoma, WA
- Zip : 98431-0001
- Fax : (253) 968-2972
- Phone : (253) 968-2462
Second Address
- David Devaul Odineal
- 9040 Jackson Ave
- Tacoma, WA
- Zip : 98431-2200
- Fax : (253) 968-2972
- Phone : (253) 968-2462
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | 7462220 | WI |
National Provider Identifier
| NPI | 1023539160 |
|---|---|
| Provider Name | David Devaul Odineal |
| First Address | Tacoma, WA 98431-0001 |
| Second Address | Tacoma, WA 98431-2200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2017 |
| Last Update Date | 24/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.