Dr. Audrey R Odom
MD | Pediatric Infectious Diseases | Female
Dr. Audrey R Odom, MD is a Saint Louis, Missouri based Pediatric doctor with medical specialization in
Pediatric Infectious Diseases.
Current practice location of Dr. Audrey R Odom is
1 Childrens Pl Ste C, Ste C, Saint Louis, Missouri - 63110-1002. She can be contacted on phone at
314-454-6050 and fax number 314-454-2836.
Dr. Audrey R Odom is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Audrey R Odom is
1215949276 which was assigned by NPPES on 11 Aug, 2006 and it was last updated on 24 Jan, 2018.
Dr. Audrey R Odom license number is
2008022993 for Pediatrics Pediatric Infectious Diseases (2080P0208X) in Missouri.
Dr. Audrey R Odom is trained to take care of children in the diagnosis, treatment and prevention of infectious diseases. Infectious Diseases pediatrician can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Complete Profile:
Dr. Audrey R Odom basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Infectious Diseases |
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| Provider Name : | Dr. Audrey R Odom |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Audrey R Odom address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Childrens Pl Ste C, Ste C
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-6050 |
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| Fax Number : | 314-454-2836 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215949276 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Aug, 2006 |
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| Last Updated On : | 24 Jan, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Audrey R Odom are as mentioned. Primary taxonomy code for Dr. Audrey R Odom, MD is
2080P0208X (Pediatrics Pediatric Infectious Diseases).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 2008022993 | MO |
| 2080P0208X | Pediatrics Pediatric Infectious Diseases | Yes | 2008022993 | MO |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Audrey R Odom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| ENROLLED | MEDICAID | IL | |
| 1215949276 | MEDICAID | MO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Childrens Pl, Cb 8116
Saint Louis, MO, 63110-1002
United States |
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| Phone Number : | 314-454-6050 |
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| Fax Number : | 314-454-2836 |
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Business Location:
Patients can refer following map for directions to
Dr. Audrey R Odom practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.