Individual
CAMERON DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2550 ADDISON AVE E, TWIN FALLS, ID 83301-6767
(208) 814-8000
(208) 933-9301
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5261174
ID
Other
Enumeration date
08/09/2022
Last updated
11/19/2024
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