Individual
DR. DANIEL PAUL DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2186
CO
152W00000X
Optometrist
678
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14377276
—
CO
01
—
678
STATE OF MONTANA
MT
01
—
C448958
MEDICARE PTAN
CO
Enumeration date
02/19/2007
Last updated
01/18/2012
Update your record
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