Individual
CHANCE DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 358-6064
(918) 403-0383
Mailing address
1717 S UTICA AVE STE A, TULSA, OK 74104-5346
(918) 358-6064
(918) 403-0383
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34822
OK
363A00000X
Physician Assistant
2223
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/15/2013
Last updated
07/12/2022
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