Organization
JAMES T DODGE DO LLC
Active
Other names
Center for Womens Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES T. DODGE D.O. (OWNER)
(502) 349-1411
Entity
Organization
Contact information
Practice address
919 CHAMBERS BLVD STE B, BARDSTOWN, KY 40004-2574
(502) 349-1411
(502) 349-0980
Mailing address
919 CHAMBERS BLVD STE B, BARDSTOWN, KY 40004-2574
(502) 349-1411
(502) 349-0980
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
02609
KY
302F00000X
Exclusive Provider Organization
02609
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65939969
—
KY
01
—
7789
GROUP
KY
Enumeration date
01/31/2008
Last updated
04/14/2008
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