Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Audrey Ragan Odom John, MDPHD

Individual provider Pediatric Infectious Diseases Physician · NPI 1215949276

Dr. Audrey Ragan Odom John, MDPHD is a Pediatric Infectious Diseases Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone: (314) 616-5691
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Specialties & licences

Pediatric Infectious Diseases Physician (primary) Taxonomy 2080P0208X · Licence MD468283 (PA)
Pediatrics Physician Taxonomy 208000000X · Licence MD468283 (PA)

Record details

NPI number1215949276
Entity typeIndividual (Type 1)
GenderFemale
Credentials MDPHD
Sole proprietorNo
NPI enumeratedAugust 11, 2006
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

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