Individual
DR. STEVEN CHARLES DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BBA;MBA;DC;USN-CDR-R
Contact information
Practice address
213 HENDERSON AVE, PASS CHRISTIAN, MS 39571-4309
(228) 452-0707
Mailing address
213 HENDERSON AVE, PASS CHRISTIAN, MS 39571-4309
(228) 452-0707
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
925
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
640913280
CHIROPRACTOR
MS
05
—
N/A
—
MS
Enumeration date
07/24/2006
Last updated
09/17/2008
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