Graduated: 1987
NPI: 1558073882
Practice Locations (2)
ODOM SPORTS MEDICINE PA
6545 FLYING CLOUD DR, SUITE 201
EDEN PRAIRIE, MN 553443356
9522241919
AEGIS GROUP PRACTICE LLC
1015 CENTURY AVE SW
HUTCHINSON, MN 553503817
8004446845
Source: CMS National Downloadable File, September 2026.