Diane Dodgen, M.D.

NPI #1134117385 in Perry, Florida

Provider Information

NPI Number: 1134117385
Entity Type: Individual
Name: Diane Dodgen, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Primary Care
Credential: M.D.
Enumeration Date: Oct 12, 2005
Last Updated: Mar 17, 2017

Practice Location

Address: 315 E ASH ST
City: Perry
State: Florida
ZIP Code: 32347-2029
Phone: (850) 584-3278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary
Internal Medicine	207R00000X

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