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Individual
MR. BENJAMIN DODSON
Active
Individual
MR. BENJAMIN DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MD4068967
PA
363AS0400X
Surgical Physician Assistant
—
NULL
Other
Enumeration date
07/25/2016
Last updated
02/03/2020
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