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Individual

BRIAN S DODD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
232 SHARON AVE NW, SUITE 400, LENOIR, NC 28645-4326
(828) 758-7091
(828) 758-7058
Mailing address
232 SHARON AVE NW, LENOIR, NC 28645-4326
(828) 758-7091
(828) 758-7058

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA331
ID
363AS0400X
Surgical Physician Assistant
Primary
0010-04342
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010030444
REGENCE BLUE SHIELD
ID
01
000010162910
REGENCE BLUE SHIELD
01
029674
WA DEPARTMENT OF LABOR
WA
01
194498
OMAP
OR
05
806341400
ID
01
8K248
BLUE CROSS OF IDAHO GROUP
ID
01
PAF45
BLUE CROSS OF IDAHO
01
PAMD9
BLUE CROSS OF IDAHO
ID
Enumeration date
08/19/2006
Last updated
04/29/2016
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