MRS. Crystal Noel Odegard, PA-C

NPI #1962081810 in Eagle, Idaho

Provider Information

NPI Number: 1962081810
Entity Type: Individual
Name: MRS. Crystal Noel Odegard, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 7, 2021
Last Updated: Apr 7, 2021

Practice Location

Address: 1079 S ANCONA AVE STE 100
City: Eagle
State: Idaho
ZIP Code: 83616-7443
Phone: (208) 853-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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