Individual
HEATHER K DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., FAAP
Contact information
Practice address
3250 GORDONVILLE RD, STE 301, CAPE GIRARDEAU, MO 63703-5056
(573) 334-9641
(573) 331-3120
Mailing address
PO BOX 843225, KANSAS CITY, MO 64184-3225
(708) 633-1234
(708) 342-7100
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2002021767
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962432526
—
IL
05
—
205977705
—
MO
01
—
370022298
RR MCR
MO
01
—
519387
HEALTHLINK
—
01
—
603529
ANTHEM BCBS
MO
Enumeration date
07/03/2006
Last updated
05/02/2010
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