Individual
DR. DANIEL PAUL DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3333 CLARK ST, ALAMOSA, CO 81101-2050
(719) 589-1500
(719) 587-3809
Mailing address
3333 CLARK ST, ALAMOSA, CO 81101-2050
(719) 589-1500
(719) 587-3809
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
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