Individual
ROBERT W. DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W. PARK STREET, URBANA, IL 61801-2500
(217) 383-3080
(217) 383-4868
Mailing address
611 W PARK ST, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4868
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2004016430
MO
208C00000X
Colon & Rectal Surgery Physician
Primary
036082092
IL
208C00000X
Colon & Rectal Surgery Physician
2004016430
MO
Other
Enumeration date
05/31/2006
Last updated
03/25/2015
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