Dodge, Andrew J

Dodge, Andrew J is an individual health care provider with primary practice located at 1111 E Mcdowell Rd , Phoenix AZ 85006-2612. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Dodge, Andrew J can be contacted via phone (602) 685-5211.

Contact Information

Primary practice address
1111 E Mcdowell Rd Phoenix AZ 85006-2612
Phone: (602) 685-5211
Fax: (602) 685-5325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 15470 Arizona

Profile Details

NPI number 1780651109
LBN Legal business name Dodge, Andrew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Aug 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780651109 NPPES
Arizona MEDICAID 187048

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