IndividualActive
Shaun Odell, M.D.
NPI 1366686545 · Neonatal-Perinatal Medicine Physician · Provo, UT
Provider details
- NPI number
- 1366686545
- Entity type
- Individual
- Primary specialty
- Neonatal-Perinatal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 9394929-1205 (UT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 442-3059
Approximate (ZIP-level) locationGet directions
Mailing address
4800 Sand Point Way Ne
Seattle, WA 98105-3901
Registry dates
- Enumerated
- 2009-05-01
- Last updated
- 2021-09-30
- Certified
- 2021-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.