Individual
MEGAN MARIE DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 345-2700
(985) 230-6480
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 345-2700
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
311844
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
03/16/2015
Last updated
07/22/2019
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