Dodge, Justin Paul

Dodge, Justin Paul is an individual health care provider with primary practice located at 9040 Jackson Ave , Tacoma WA 98431-5001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dodge, Justin Paul can be contacted via phone (253) 968-4978.

Contact Information

Primary practice address
9040 Jackson Ave Tacoma WA 98431-5001
Phone: (253) 968-4978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD-12669 Hawaii
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME160738 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD-12669 Hawaii

Profile Details

NPI number 1235112962
LBN Legal business name Dodge, Justin Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2005
Last updated Jan 2nd, 2024 - about last year

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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