Individual provider · Type 1 NPI

Carl Irwin Odom, MD

Diagnostic Radiology Physician · Boise, ID

NPI number 1740523513 Active

Practice location

620 W Hays St
Boise, ID 83702-5511

Call (208) 381-2094 Map

Fax (208) 381-1791

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XT0301 (TX)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

3 other providers at this address

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About NPI 1740523513

Carl Irwin Odom, MD's National Provider Identifier is 1740523513, issued on Mar 31, 2013. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Boise, ID. The record was last updated on Sep 12, 2023.