Individual
DR. DANIEL JACK DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15770 PAUL VEGA MD DR, SUITE 100, HAMMOND, LA 70403-1475
(985) 230-3937
(985) 230-3935
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-3937
(985) 230-3935
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
19793
MS
207W00000X
Ophthalmology Physician
Primary
MD.026383
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1057835
—
LA
Enumeration date
05/28/2007
Last updated
03/08/2021
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