Individual
GENTRY C DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 W 10TH ST STE 6200, INDIANAPOLIS, IN 46202-3082
(317) 625-6141
Mailing address
340 W 10TH ST STE 6200, INDIANAPOLIS, IN 46202-3082
(317) 625-6141
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01068858A
IN
390200000X
Student in an Organized Health Care Education/Training Program
0116020159
VA
Other
Enumeration date
06/20/2008
Last updated
07/07/2014
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