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Crystal Odegard, PA-C
NPI 1962081810 · on the registry since 2021
Practice
- Address
- 1079 S Ancona Ave Ste 100
Eagle, ID 83616 - Phone
- (208) 853-2273
- Organisation at this address
- Idaho Pharmacy, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-04-07
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