Individual
MR. RUSTY JOHN DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7704 MCCINDY RD, LAKE CHARLES, LA 70607-0734
(337) 438-1504
Mailing address
7704 MCCINDY RD, LAKE CHARLES, LA 70607-0734
(337) 438-1504
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
LA
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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