ETHAN DODGE

PHOENIX, AZ
NPI1962938464
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: AZ  60154)
Enumeration Date2017-05-04
Last Update Date2024-12-09
Business Address
Dr. ETHAN DODGE
500 W THOMAS RD STE 250
PHOENIX, AZ 85013-4215
Phone number: 602-406-3520
Mailing Address
Dr. ETHAN DODGE
PO BOX 33269
PHOENIX, AZ 85067-3269
Phone number: 602-406-4786
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