Individual
DR. KODJO ADAM DODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-0417
Mailing address
4430 MISSOURI AVENUE, BOX 1267 ATTN: DQS-CR, FORT LEONARD WOOD, MO 65473
(573) 596-0417
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
999122
IL
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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