Mark Dodge

NPI 1023405230 - Pharmacist - 183500000X

NPI Details
NPI 1023405230
Gender Male
Enumeration Date 04/26/2015
Last Updated 04/26/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3210 E UNION HILLS DR
PHOENIX AZ, 85050-3223, US
Phone (602) 788-4793
Fax
Business Location
3210 E UNION HILLS DR
PHOENIX AZ, 85050-3223, US
Phone
Fax
Toxanomy
Taxonomy Code 183500000X
License State Arizona
License Number S016995
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According to our database, Mark Dodge NPI is 1023405230, taxonomy code is 183500000X and license number is S016995, license state is located at Arizona. Mark Dodge physically located at 3210 E Union Hills Dr, Phoenix AZ, 85050-3223. NPI Number Mark Dodge has the Individual type.

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1023405230 NPI number is provided on an as is basis without warranty of any kind. 1023405230 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Dodge are for informational purposes only.