Individual
WILLIAM A. DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
802 N RIVERSIDE RD, SUITE 150, SAINT JOSEPH, MO 64507-9794
(816) 271-4025
(816) 271-4026
Mailing address
802 N RIVERSIDE RD.,, STE. 150, SAINT JOSEPH, MO 64506-4934
(816) 271-4025
(816) 271-4026
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
2008022986
MO
208100000X
Physical Medicine & Rehabilitation Physician
Primary
N-6767
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100347180B
—
KS
05
—
111556001
—
AR
05
—
1235116625
—
MO
05
—
200334900
—
IN
01
—
P00737529
RR MEDICARE
MO
Enumeration date
12/27/2005
Last updated
11/18/2019
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