Crystal Noel Odegard, PA-C Valid NPI
Individual provider · Physician Assistant · Eagle, ID
- NPI
- 1962081810
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- PA-1982 (ID)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-04-07
- Last updated
- 2021-04-07
Practice location
1079 S Ancona Ave Ste 100
Eagle, ID 83616-7443
(208) 853-2273