DR. Ethan Dodge

NPI #1962938464 in Phoenix, Arizona

Provider Information

NPI Number: 1962938464
Entity Type: Individual
Name: DR. Ethan Dodge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Enumeration Date: May 4, 2017
Last Updated: Dec 9, 2024

Practice Location

Address: 500 W THOMAS RD STE 250
City: Phoenix
State: Arizona
ZIP Code: 85013-4215
Phone: (602) 406-3520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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