BENJAMIN DODGE

FORT DEFIANCE, AZ
NPI1932556826
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NM  MD2019-0276)
Enumeration Date2016-05-20
Last Update Date2019-09-06
Business Address
BENJAMIN DODGE MD
FORT DEFIANCE INDIAN HOSPITAL BOARD INC. CORNER OF ROUTES N12 & N7
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8097
Mailing Address
BENJAMIN DODGE MD
PO BOX 2035
WINDOW ROCK, AZ 86515-2035
Phone number: 505-710-6592
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