| Dennis Odie | |
|
9106 Philadelphia Rd Suite 200 Baltimore MD 21237-4329 | |
| (410) 780-1980 | |
| (410) 780-1984 |
| Full Name | Dennis Odie |
|---|---|
| Speciality | Internal Medicine |
| Location | 9106 Philadelphia Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Dennis H. Odie (OWNER) |
| Authorized Official Contact | 4107801980 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Odie 9106 Philadelphia Rd Suite 200 Baltimore MD 21237-4329 Ph: (410) 780-1980 | Dennis Odie 9106 Philadelphia Rd Suite 200 Baltimore MD 21237-4329 Ph: (410) 780-1980 |
| NPI Number | 1134352206 |
|---|---|
| Provider Enumeration Date | 08/24/2009 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134352206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 225100000X | Physical Therapist | () | Secondary |
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