Odom, John

Odom, John is an individual health care provider with primary practice located at 6545 Flying Cloud Dr Ste 201 , Eden Prairie MN 55344-3356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Odom, John can be contacted via phone (952) 224-1919.

Contact Information

Primary practice address
6545 Flying Cloud Dr Ste 201 Eden Prairie MN 55344-3356
Phone: (952) 224-1919
Fax: (763) 710-8154
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 44235 Minnesota
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 44235 Minnesota

Profile Details

NPI number 1215953732
LBN Legal business name Odom, John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2006
Last updated Jun 25th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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