Dodson, Russell

Dodson, Russell is an individual health care provider with primary practice located at 34975 N North Valley Pkwy Suite 100, Phoenix AZ 85086-4028. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Dodson, Russell can be contacted via phone (623) 295-4820.

Contact Information

Primary practice address
34975 N North Valley Pkwy Suite 100 Phoenix AZ 85086-4028
Phone: (623) 295-4820
Fax: (623) 295-4830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1015 Arizona

Profile Details

NPI number 1760475354
LBN Legal business name Dodson, Russell
Credentials P.A.C.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Sep 25th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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