James T Dodge Do LLC

NPI #1881846780 in Bardstown, Kentucky

Provider Information

NPI Number: 1881846780
Entity Type: Organization
Organization Name: James T Dodge Do LLC
Subpart: Yes (part of a larger organization)
Parent Organization: JAMES T DODGE DO LLC
Primary Specialty: Advanced Practice Midwife
Enumeration Date: Oct 22, 2008
Last Updated: Oct 22, 2008

Practice Location

Address: 919 CHAMBERS BLVD STE B
City: Bardstown
State: Kentucky
ZIP Code: 40004-2574
Phone: (502) 349-1411

Authorized Official

Name: DR. JAMES T DODGE, D.O.
Title: OWNER
Phone: (502) 349-1411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Advanced Practice Midwife	367A00000X	Primary

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