MS. Dodie Lane Martin, PA-C

NPI #1215116876 in La Crosse, Kansas

Provider Information

NPI Number: 1215116876
Entity Type: Individual
Name: MS. Dodie Lane Martin, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Oct 31, 2007
Last Updated: Dec 18, 2019

Practice Location

Address: 801 LOCUST ST
City: La Crosse
State: Kansas
ZIP Code: 67548-9673
Phone: (785) 222-2564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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