William Randolph Dodge II

NPI 1588640312 - Emergency Medicine - 207P00000X

NPI Details
NPI 1588640312
Gender Male
Enumeration Date 12/22/2005
Last Updated 07/05/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
252 AZUL WAY
OCEANSIDE CA, 92057-6816, US
Phone (301) 560-4522
Fax
Business Location
252 AZUL WAY
OCEANSIDE CA, 92057-6816, US
Phone
Fax
Toxanomy
Taxonomy Code 207P00000X
License State California
License Number A70260
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According to our database, Dr. William Randolph Dodge II NPI is 1588640312, taxonomy code is 207P00000X and license number is A70260, license state is located at California. William Randolph Dodge II physically located at 252 Azul Way, Oceanside CA, 92057-6816. NPI Number William Randolph Dodge II has the Individual type.

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1588640312 NPI number is provided on an as is basis without warranty of any kind. 1588640312 is maintained by the National Plan & Provider Enumeration System. The contents of William Randolph Dodge II are for informational purposes only.