Individual
CHRISTOPHER A. DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
17 HOSPITAL DRIVE, BUSHNELL MEDICAL BUILDING, OFFICE #1, MASSENA, NY 13662-1786
(315) 705-6564
(315) 705-6567
Mailing address
17 HOSPITAL DRIVE, BUSHNELL MEDICAL BUILDING, OFFICE #1, MASSENA, NY 13662-1786
(315) 705-6564
(315) 705-6567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012989
NY
Other
Enumeration date
12/15/2005
Last updated
03/28/2022
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