Elmer G Dodge JR., FNP

NPI #1508918236 in Star, Idaho

Provider Information

NPI Number
1508918236
Entity Type
Individual
Name
Elmer G Dodge JR., FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
FNP
Enumeration Date
Jan 16, 2007
Last Updated
Sep 1, 2020

Practice Location

Address
9858 W STATE ST
City
Star
State
Idaho
ZIP Code
83669-5210
Phone
(208) 286-0666

Specialties & Taxonomy Codes

Specialty
Registered Nurse - General PracticeGeneral Practice
Nurse Practitioner

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