Britton Kenneth Odle, | |
One Hospital Dr, Columbia, MO 65212-0001 | |
(573) 884-7770 | |
(573) 882-9876 |
Full Name | Britton Kenneth Odle |
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Gender | Male |
Speciality | Radiology - Neuroradiology |
Location | One Hospital Dr, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417450271 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 20A20860 (California) | Secondary |
2085N0700X | Radiology - Neuroradiology | 2024015342 (Missouri) | Primary |
Entity Name | Uc Regents |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346298528 PECOS PAC ID: 3274446182 Enrollment ID: O20031106000833 |
Entity Name | Smi Imaging Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972004489 PECOS PAC ID: 3476696220 Enrollment ID: O20180824001718 |
Entity Name | Health Diagnostics Of California A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104321959 PECOS PAC ID: 4284621525 Enrollment ID: O20180825000005 |
Mailing Address | Practice Location Address |
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Britton Kenneth Odle, Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300 | Britton Kenneth Odle, One Hospital Dr, Columbia, MO 65212-0001 Ph: (573) 884-7770 |
Desiree Maria Ferdinandi, Radiology Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-7770 Fax: 573-882-9876 | |
Dr. Neal R Meyer, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 311 N Keene St, Columbia, MO 65201 Phone: 573-442-1788 Fax: 573-442-1789 | |
Dr. Joshua Morrell, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr # Dc10m292, Department Of Radiology, School Of Medicine, Columbia, MO 65212 Phone: 701-391-3685 | |
Dr. Ayesha Nasrullah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-7770 Fax: 573-882-9876 | |
Hugh J Murrell, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1705 E Broadway, Suite 100, Columbia, MO 65201 Phone: 573-874-7800 Fax: 573-443-3627 | |
Mustafa Al-sabbagh, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-1026 Fax: 573-884-4487 | |
Dr. Mohamed Khalaf Mahmoud Abdelhakiem, MD Radiology Medicare: Medicare Enrolled Practice Location: One Hospital Dr, Columbia, MO 65212 Phone: 573-884-7770 Fax: 573-882-9879 |