Individual
AARON NICHOLAS DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3250 GORDONVILLE RD STE 384, CAPE GIRARDEAU, MO 63703-5095
(573) 331-5522
(573) 331-5523
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019034866
MO
Other
Enumeration date
09/30/2019
Last updated
03/03/2021
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