Individual
MS. AMBER RENAE DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, ATC
Contact information
Practice address
1 UNIVERSITY AVE, FULTON, MO 65251-2388
(573) 592-4398
(573) 592-4386
Mailing address
1 UNIVERSITY AVE, FULTON, MO 65251-2388
(573) 592-4398
(573) 592-4386
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2004022306
MO
Other
Enumeration date
05/01/2007
Last updated
01/11/2008
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