Individual
DR. MATTHEW TAYLOR DODDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1421 WILKINS CIR, CASPER, WY 82601-1337
(307) 237-2511
(307) 237-7351
Mailing address
1421 WILKINS CIR, CASPER, WY 82601-1337
(307) 237-2511
(307) 237-7351
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4462A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104679900
—
WY
01
—
310643
BLUE CROSS BLUE SHIELD
WY
Enumeration date
04/13/2006
Last updated
06/29/2011
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