| Odero Consultants | |
|
7000 N 16th St Ste 120 Phoenix AZ 85020-5524 | |
| (855) 541-2862 | |
| (405) 716-4808 |
| Full Name | Odero Consultants |
|---|---|
| Speciality | Internal Medicine |
| Location | 7000 N 16th St Ste 120, Phoenix, Arizona |
| Authorized Official Name and Position | Randy O Odero (MD) |
| Authorized Official Contact | 4055633998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Odero Consultants 7000 N 16th St Ste 120 # 199 Phoenix AZ 85020-5524 Ph: () - | Odero Consultants 7000 N 16th St Ste 120 Phoenix AZ 85020-5524 Ph: (855) 541-2862 |
| NPI Number | 1942695978 |
|---|---|
| Provider Enumeration Date | 04/07/2015 |
| Last Update Date | 10/19/2020 |
| Medicare PECOS PAC ID | 4688981863 |
|---|---|
| Medicare Enrollment ID | O20150921002012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942695978 | NPI | - | NPPES |
| 438170 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 41308 (Arizona) | Primary |
| Provider Name | Randy O Odero |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1417167313 PECOS PAC ID: 3375697840 Enrollment ID: I20090818000436 |
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