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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BRYAN KEITH ODITT, APA-C

Active

MR. BRYAN KEITH ODITT, APA-C is a Medical Physician Assistant healthcare provider located in NEW LONDON, Connecticut. NPI 1023096237 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · NEW LONDON, CT

Registration Details

NPI Number
1023096237
Provider Type
Individual
Gender
Male
NPI Issued
Jan 6, 2006 (20.419722223686 yrs)
Last Updated
Jan 22, 2025
Licenses
PA11519 (TX)
001247 (CT)

Practice Information

Address
15 MOHEGAN AVE
NEW LONDON, CT, 063208100
Browse CT providers · Browse ZIP 06320
Phone
8604448207
Fax
8604448413
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in NEW LONDON, CT

Name Credential NPI
MS. CHARLENE ROBERTA THOMPSON CRISS PA-C 1760469514
JILL LAGEMAN PA-C 1609979830
AMELIA VAZQUEZ-VALICEK PA-C 1417055914
DANIELLE J ROBBINS PA 1053419333
KARA MIGNOSA PA-C 1598857211
LOUIS M KRONISCH PA-C 1912041260
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.