Individual
BRANDON T DODDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
710 MARION ST, SEARCY, AR 72143-4832
(501) 278-2800
(501) 278-8317
Mailing address
5 SAINT VINCENT CIR STE 100, LITTLE ROCK, AR 72205-5415
(501) 663-6455
(501) 978-1575
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-546
AR
363AM0700X
Medical Physician Assistant
Primary
PA-546
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203138795
—
AR
Enumeration date
12/26/2013
Last updated
08/04/2021
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