KEITH ODEGARD, MD

Orthopaedic Surgery

Active Individual
NPI: 1083609614

Practice Address

12855 NORTH FORTY DRIVE
SUITE 125
St. Louis, MO 63141

Phone: (314) 966-0111

Specialties

Specialty Code Primary License
Orthopaedic Surgery 207X00000X Yes 2004027795 (MO)

Frequently Asked Questions

NPI 1083609614 is the National Provider Identifier for KEITH ODEGARD, MD, a Orthopaedic Surgery provider located in St. Louis, MO. This NPI was enumerated on September 20, 2005.
KEITH ODEGARD, MD practices at 12855 NORTH FORTY DRIVE, SUITE 125, St. Louis, MO 63141.

Quick Facts

NPI
1083609614
Type
Individual
Enumerated
Sep 20, 2005
Last Updated
Oct 21, 2011

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