Individual
MR. BRENT ALAN DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5000 BLUE MOUNTAIN RD, MISSOULA, MT 59804-9207
(406) 251-2323
(406) 251-2999
Mailing address
5000 BLUE MOUNTAIN RD, MISSOULA, MT 59804-9207
(406) 251-2323
(406) 251-2999
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
709
MT
Other
Enumeration date
07/18/2006
Last updated
10/02/2014
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