Individual
BRANDT L DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4233 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 858-5786
(812) 490-4512
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 858-5786
(812) 490-4512
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
07000675A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109422
ANTHEM
IN
05
—
100248490
—
IN
Enumeration date
11/28/2006
Last updated
01/03/2013
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