Individual
DR. ALICIA MARY DODSON
Active
Individual
DR. ALICIA MARY DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
055170
CT
207R00000X
Internal Medicine Physician
Primary
051170
CT
207R00000X
Internal Medicine Physician
125-050696
IL
208000000X
Pediatrics Physician
055170
CT
208000000X
Pediatrics Physician
125-050696
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236346
—
CT
Enumeration date
05/22/2007
Last updated
05/13/2024
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