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1316142995
RUSSELL R DODGE
TUCSON, AZ
NPI
1316142995
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MT 6309)
Enumeration Date
2007-06-15
Last Update Date
2015-06-17
Business Address
-- RUSSELL R DODGE MD
2888 E RACQUET CT
TUCSON, AZ 85716
Phone number: 406-570-5537
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Mailing Address
-- RUSSELL R DODGE MD
2888 E RACQUET CT
TUCSON, AZ 85716
Phone number: 406-570-5537
Copy
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