Rita Josephine Dodge MD

NPI 1114076650 - Family Medicine - 207Q00000X

NPI Details
NPI 1114076650
Gender Female
Enumeration Date 01/10/2007
Last Updated 08/01/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2019 GALISTEO ST
SUITE N9A
SANTA FE NM, 87505, US
Phone (505) 988-1930
Fax (505) 982-9931
Business Location
2019 GALISTEO ST
SUITE N9A
SANTA FE NM, 87505, US
Phone (505) 988-1930
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State New Mexico
License Number 20030007
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According to our database, Rita Josephine Dodge MD NPI is 1114076650, taxonomy code is 207Q00000X and license number is 20030007, license state is located at New Mexico. Rita Josephine Dodge MD physically located at 2019 Galisteo St, Santa Fe NM, 87505. NPI Number Rita Josephine Dodge MD has the Individual type.

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1114076650 NPI number is provided on an as is basis without warranty of any kind. 1114076650 is maintained by the National Plan & Provider Enumeration System. The contents of Rita Josephine Dodge MD are for informational purposes only.