Organization
KEVIN C. DODSON D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN C. DODSON D.P.M. (OWNER)
(309) 755-3809
Entity
Organization
Contact information
Practice address
1620 9TH ST, EAST MOLINE, IL 61244-2120
(309) 755-3809
(309) 755-3860
Mailing address
1620 9TH ST, EAST MOLINE, IL 61244-2120
(309) 755-3809
(309) 755-3860
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
016004304
IL
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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