Robert Dodge, O.D.

NPI #1164424370 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1164424370
Entity Type: Individual
Name: Robert Dodge, O.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 1, 2005
Last Updated: Jul 9, 2007

Practice Location

Address: 12737 RIVERDALE BLVD NW
City: Coon Rapids
State: Minnesota
ZIP Code: 55448-1253
Phone: (763) 433-3468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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