Casandra Odoms

NPI #1205516697 in Boise, Idaho

Provider Information

NPI Number: 1205516697
Entity Type: Individual
Name: Casandra Odoms
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Jul 20, 2023
Last Updated: Jan 5, 2026

Practice Location

Address: 222 N 2ND ST STE 204
City: Boise
State: Idaho
ZIP Code: 83702-6130
Phone: (208) 429-9100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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