Individual
DR. ANDREW J DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 685-5211
(602) 685-5325
Mailing address
1255 W WASHINGTON ST, TEMPE, AZ 85281-1210
(623) 266-7770
(623) 322-4639
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
15470
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187048
—
AZ
Enumeration date
03/03/2006
Last updated
08/04/2020
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