LEVI DODGE

TRAVIS AFB, CA
NPI1598258386
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: MS  na)
Enumeration Date2018-06-07
Last Update Date2021-07-26
Business Address
LEVI DODGE D.O
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 916-561-7793
Mailing Address
LEVI DODGE D.O
101 BODIN CIR
TRAVIS AFB, CA 94535-1809
Phone number: 916-561-7793
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