Individual
DR. DANIEL LEE DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5950 UNIVERSITY AVE STE 131, WEST DES MOINES, IA 50266-8232
(515) 875-9550
(515) 875-9551
Mailing address
PO BOX 424, DES MOINES, IA 50302-0424
(515) 875-9925
(515) 875-9923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO-04622
IA
207RP1001X
Pulmonary Disease Physician
Primary
DO-04622
IA
Other
Enumeration date
06/13/2013
Last updated
12/20/2023
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