Individual
HAVILAH CHELSEA DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14800 W MOUNTAIN VIEW BLVD STE 160, SURPRISE, AZ 85374-2700
(623) 584-3376
(623) 584-3375
Mailing address
14800 W MOUNTAIN VIEW BLVD STE 160, SURPRISE, AZ 85374-2700
(623) 584-3376
(623) 584-3375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
AZ
Other
Enumeration date
04/10/2020
Last updated
09/14/2021
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