Individual
BROOKE LYNN DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-6671
(573) 339-0083
Mailing address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 335-6671
(573) 339-0083
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019037573
MO
Other
Enumeration date
10/24/2019
Last updated
07/10/2024
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