Individual
EUGENE E DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2045 FRANKLIN ST, DENVER, CO 80205-5437
(303) 861-3585
Mailing address
5376 S SALIDA CT, CENTENNIAL, CO 80015-2537
(303) 693-0082
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
870
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006667
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/16/2007
Last updated
07/08/2007
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