Individual
JEFFREY SCOTT DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10051 LAKE AVE, SUITE 3, TRUCKEE, CA 96161
(530) 587-7461
(530) 587-1149
Mailing address
10051 LAKE AVE, SUITE 3, TRUCKEE, CA 96161
(530) 587-7461
(530) 587-1149
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A81163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A811630
—
CA
01
—
P00089905
RAILROAD MEDICARE
—
01
—
ZZZ31109Z
MEDICARE ID TYPE UNSPECIFIED
—
Enumeration date
08/04/2006
Last updated
10/03/2012
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