Individual provider · Type 1 NPI

Isaac Nathan O'Dell, PA

Surgical Physician Assistant · Johnson City, TN

NPI number 1821035908 Active

Practice location

701 Med Tech Pkwy, Suite 300
Johnson City, TN 37604-2365

Fax (423) 232-8304

Mailing address

PO Box 9150
Paducah, KY 42002-9150

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA0000001330 (TN)
Surgical Physician Assistant Primary 363AS0400XPA0000001330 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1821035908

Isaac Nathan O'Dell, PA's National Provider Identifier is 1821035908, issued on May 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Johnson City, TN. The record was last updated on Dec 10, 2009.