Individual provider · Type 1 NPI

Casandra Odoms

Physician Assistant · Boise, ID

NPI number 1205516697 Active

Practice location

222 N 2nd St Ste 204
Boise, ID 83702-6130

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5271988 (ID)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1205516697

Casandra Odoms's National Provider Identifier is 1205516697, issued on Jul 20, 2023. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boise, ID. The record was last updated on Jan 5, 2026.