Individual
JAREN DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2660 E GRAY BIRCH DR, ST GEORGE, UT 84790-1891
(435) 760-7843
Mailing address
2660 E GRAY BIRCH DR, ST GEORGE, UT 84790-1891
(435) 760-7843
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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