Organization
JAMES T DODGE DO LLC
Active
Parent organization
JAMES T DODGE DO LLC
Other names
Center for Women's Health ARNP
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAMES T DODGE DO LLC
Authorized official
DR. JAMES T DODGE D.O. (OWNER)
(502) 349-1411
Entity
Organization
Contact information
Practice address
919 CHAMBERS BLVD STE B, BARDSTOWN, KY 40004-2574
(502) 349-1411
Mailing address
919 CHAMBERS BLVD STE B, BARDSTOWN, KY 40004-2574
(502) 349-1411
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
2117M
KY
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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