Organization
CHRISTINE DODGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE RENEE DODGE SURGICAL ASSISTANT (PRESIDENT)
(970) 692-4369
Entity
Organization
Contact information
Practice address
39237 COUNTY ROAD 43, AULT, CO 80610-9539
(970) 692-4369
Mailing address
39237 COUNTY ROAD 43, AULT, CO 80610
(970) 692-4369
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
SA.0001903
CO
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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