JACK M DODSON

JEFFERSON CITY, MO
NPI1821069345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MO  101346)
Enumeration Date2006-02-01
Last Update Date2015-08-14
Business Address
Dr. JACK M DODSON M.D.
1241 W STADIUM BLVD
JEFFERSON CITY, MO 65109-6023
Phone number: 573-635-5264
Mailing Address
Dr. JACK M DODSON M.D.
PO BOX 104240
JEFFERSON CITY, MO 65110-4240
Phone number: 573-635-5264