Individual
MR. DENNIS DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 531-4727
Mailing address
PO BOX 571, ALTUS, OK 73522-0571
(580) 481-4815
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0040475
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100789080A
—
OK
Enumeration date
06/22/2005
Last updated
03/19/2013
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