IndividualActive
Amanda Odom, PA-C
NPI 1972648038 · Physician Assistant · Oklahoma City, OK
Provider details
- NPI number
- 1972648038
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA 1017 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
900 Ne 10th St
Oklahoma City, OK 73104-5420
Phone: (405) 271-2058
Approximate (ZIP-level) locationGet directions
Mailing address
900 Ne 10th St
Oklahoma City, OK 73104-5420
Additional practice locations (1)
- 2525 Nw Expressway Ste 102Oklahoma City, OK 73112-7200Phone: (405) 213-0192Fax: (405) 438-0988
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2019-08-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.