Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW ODISHOO
ActiveMATTHEW ODISHOO is a Adult Companion healthcare provider located in AVONDALE, Arizona. NPI 1679069025 is currently active in the NPPES registry. Verify at CMS.
Adult Companion · AVONDALE, AZ
Registration Details
- NPI Number
- 1679069025
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 9, 2018 (8.1213364642158 yrs)
- Last Updated
- Jul 9, 2018
- License
-
AL10626H (AZ)
Practice Information
- Address
-
2114 S 118TH AVEAVONDALE, AZ, 853237643Browse AZ providers · Browse ZIP 85323
- Phone
- 6237927930
- Fax
- 6237771683
- Primary Specialty
-
Adult Companion
372600000X
Other Adult Companion Providers in AVONDALE, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. IRENA CHATKOWSKI | — | 1154658219 |
| ELEONORA KACZMAREK | — | 1669717468 |
| MR. JIMMY LEE ELLIS | — | 1376013326 |
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.