Most Relevant Information
Provider Data
NPI Number: | 1003495011 |
Provider Name: | MATTHEW D. O'DELL MD |
Entity Type: | Individual |
Taxonomy Code: | 207R00000X |
Specialty: | Internal Medicine |
License Number: | 12985866-1205 |
Most Important Dates
Enumeration Date: | 04/06/2021 |
Last Updated: | 08/22/2022 |
Provider Practice Location
50 N MEDICAL DR
SALT LAKE CITY
UT
841320001
Practice Location Phone/Fax
Phone: | 8015817899 |
Fax: |
Provider Mailing Location
50 N MEDICAL DR
SALT LAKE CITY
UT
841320001
Provider Mailing Phone/Fax
Phone: | 8015817899 |
Fax: |
Suggested EMR
Internist EMR