Organization
DODSON DIRECTIVE, P.A.
Active
Organization
DODSON DIRECTIVE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID KIRK DODSON M.D. (DIRECTOR)
(651) 315-2192
Entity
Organization
Contact information
Practice address
810 LILAC DR N, STE B, GOLDEN VALLEY, MN 55422
(651) 315-2192
(763) 522-2222
Mailing address
810 LILAC DR N, SUITE B, GOLDEN VALLEY, MN 55422-4656
(651) 315-2192
(763) 522-2222
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
52435
MN
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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