JACK LEVERN DODD

AMES, IA
NPI1417942434
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: IA  MD-17136)
Enumeration Date2005-09-15
Last Update Date2019-08-07
Business Address
JACK LEVERN DODD MD
1619 S HIGH AVE
AMES, IA 50010-8055
Phone number: 515-232-5811
Mailing Address
JACK LEVERN DODD MD
2004 PINEHURST DR
AMES, IA 50010-4561
Phone number: 515-292-4474
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