Thomas Edward Dodsworth RN, ANP

NPI 1093027542 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1093027542
Gender Male
Enumeration Date 07/12/2010
Last Updated 06/02/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
41 AZALEA AVE
FAIRFAX CA, 94930-1527, US
Phone (510) 381-6346
Fax
Business Location
41 AZALEA AVE
FAIRFAX CA, 94930-1527, US
Phone (510) 381-6346
Fax (415) 291-0489
Toxanomy
Taxonomy Code 363LA2200X
License State California
License Number 19160
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According to our database, Mr. Thomas Edward Dodsworth RN, ANP NPI is 1093027542, taxonomy code is 363LA2200X and license number is 19160, license state is located at California. Thomas Edward Dodsworth RN, ANP physically located at 41 Azalea Ave, Fairfax CA, 94930-1527. NPI Number Thomas Edward Dodsworth RN, ANP has the Individual type.

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1093027542 NPI number is provided on an as is basis without warranty of any kind. 1093027542 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Edward Dodsworth RN, ANP are for informational purposes only.