Individual
VINCENT H. DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12428 WHISPERING OAKS DR, BAKER, LA 70714-6027
(225) 775-7513
Mailing address
12428 WHISPERING OAKS DR, BAKER, LA 70714-6027
(225) 775-7513
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD 200219
LA
207P00000X
Emergency Medicine Physician
Primary
ME158804
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1216704
—
LA
Enumeration date
03/22/2006
Last updated
03/20/2023
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