| Jonathan Larry Odom, | |
|
301 Riverview Ave Ste 202a, Norfolk, VA 23510-1065 | |
| (757) 252-9140 | |
| (757) 793-4149 |
| Full Name | Jonathan Larry Odom |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 301 Riverview Ave Ste 202a, Norfolk, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497619282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110012239 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Larry Odom, 301 Riverview Ave Ste 202a, Norfolk, VA 23510-1065 Ph: (757) 252-9140 | Jonathan Larry Odom, 301 Riverview Ave Ste 202a, Norfolk, VA 23510-1065 Ph: (757) 252-9140 |
Zena Coreen Longvall, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 212, Norfolk, VA 23502 Phone: 757-261-5977 Fax: 757-275-9913 |
Ryan Sadinski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Fl 5, Norfolk, VA 23507 Phone: 757-388-3198 |
Hailey Marie Hughes, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9545 Shore Dr, Norfolk, VA 23518 Phone: 757-785-4861 |
Mr. Philip John Dauernheim, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1721 Taussig Blvd., Norfolk, VA 23511 Phone: 757-314-6401 |
Jibiao Huang, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 Gresham Dr Ste 202a, Norfolk, VA 23507 Phone: 757-252-9140 |
Katherine Ashley Woodward, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 844 Kempsville Rd Ste 204, Norfolk, VA 23502 Phone: 757-261-0700 Fax: 757-261-0701 |
Jordan Jackson, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6379 Center Dr, Norfolk, VA 23502 Phone: 757-467-5967 |