Individual
MRS. DODY UFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
550 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8160
(707) 465-6925
(707) 465-6070
Mailing address
670 9TH ST, ARCATA, CA 95521-6248
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA14677
CA
363AS0400X
Surgical Physician Assistant
PA14677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA14677
—
CA
Enumeration date
11/17/2006
Last updated
10/20/2020
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