Healthcare Provider Details

I. General information

NPI: 1770856486
Provider Name (Legal Business Name): ODYSSEY & COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2012
Last Update Date: 02/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1350 E FLAMINGO RD SUITE 559
LAS VEGAS NV
89119-5263
US

IV. Provider business mailing address

1350 E FLAMINGO RD SUITE 559
LAS VEGAS NV
89119-5263
US

V. Phone/Fax

Practice location:
  • Phone: 702-327-3268
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. CODY L TOWLER
Title or Position: MANAGER
Credential:
Phone: 702-327-3268