Individual
DR. ROSS WILLIAM DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5955 ZEAMER AVENUE, JBER, AK 99506
(907) 580-3205
Mailing address
5955 ZEAMER AVENUE, JBER, AK 99506
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
6769
AK
207RS0012X
Sleep Medicine (Internal Medicine) Physician
6769
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1599973
—
AK
Enumeration date
07/29/2008
Last updated
10/23/2014
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