Dr. Audrey R Odom
Pediatrician Pediatric Infectious Diseases
1 Childrens Pl Ste C Ste C
Saint Louis
, Missouri 63110-1002
Dr. Audrey R Odom
Pediatrician Pediatric Infectious Diseases
1 Childrens Pl Ste C Ste C
Saint Louis
, Missouri 63110-1002
(314) 454-2836
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Audrey R Odom
- 1 Childrens Pl Cb 8116
- Saint Louis, MO
- Zip : 63110-1002
- Fax : (314) 454-2836
- Phone : (314) 454-6050
Second Address
- Dr. Audrey R Odom
- 1 Childrens Pl Ste C Ste C
- Saint Louis, MO
- Zip : 63110-1002
- Fax : (314) 454-2836
- Phone : (314) 454-6050
Reviews
FAQs
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Is Dr. Audrey R Odom a sole practitioner?
Is Dr. Audrey R Odom accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 2008022993 | MO |
| Y | 2080P0208X | Pediatric Infectious Diseases | 2008022993 | MO |
National Provider Identifier
| NPI | 1215949276 |
|---|---|
| Provider Name | Dr. Audrey R Odom |
| First Address | Saint Louis, MO 63110-1002 |
| Second Address | Saint Louis, MO 63110-1002 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/08/2006 |
| Last Update Date | 24/01/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1215949276 | (05) | MO |
| ENROLLED | (05) | IL |
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.