SearchIdaho2085R0202X

Carl Odom, MD

NPI 1740523513 · on the registry since 2013 · sole proprietor

Practice

Address
620 W Hays St
Boise, ID 83702
Phone
(208) 381-2094
Fax
(208) 381-1791
Organisation at this address
Boise Radiology Group Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
390200000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-09-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho