Organization
DODD FAMILY PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GAIL DODD (APRN)
(501) 745-2713
Entity
Organization
Contact information
Practice address
451 INGRAM ST, CLINTON, AR 72031-7078
(501) 745-2713
(501) 745-2714
Mailing address
PO BOX 1280, CLINTON, AR 72031-1280
(501) 745-2713
(501) 745-2714
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A003662
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192317758
—
AR
Enumeration date
03/10/2016
Last updated
07/11/2024
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