Individual
DR. JOSEPH T DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 S ASH, NEVADA, MO 64772
(417) 448-3644
(417) 448-3604
Mailing address
800 S ASH, NEVADA, MO 64772
(417) 448-3644
(417) 448-3604
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2010005697
MO
208600000X
Surgery Physician
35058426D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223916
ANTHEM
—
01
—
00789
PARAMOUNT
—
01
—
020052286
RAI ROAD MEDICARE
OH
05
—
0749024
—
OH
01
—
104389781
MICHIGAN MEDICAID
MI
01
—
1701078
UNITED HEALTH CARE
—
01
—
211400
NATIONWIDE
—
01
—
341966854
CIGNA
—
01
—
4196773
AETNA
—
01
—
602049
FAMILY HEALTH PLAN
—
Enumeration date
05/23/2005
Last updated
07/15/2010
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