Jack M Dodson in Jefferson City - Family Medicine
Jack M Dodson - NPI 1821069345
Jack M Dodson is a Family Medicine in Jefferson City, Missouri. Jack M Dodson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack M Dodson is 1821069345. The last update date is 2015-08-14.
Jack M Dodson's current location address is Po Box 104240, Jefferson City, Missouri. You can contact this provider via phone number 5736355264 and fax number 5736365881. The mailing address for Jack M Dodson is Po Box 104240, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack M Dodson |
|---|---|
| Address | Po Box 104240, Jefferson City, Missouri |
| Phone Number | 5736355264 |
| Fax Number | 5736365881 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1821069345 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2015-08-14 |
Provider Mailing Address Detail
| Address | Po Box 104240 |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651104240 |
| Phone Number | 5736355264 |
| Fax Number | 5736365881 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 101346 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 203375613 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jack M Dodson by the Centers for Medicare & Medicaid Services?
The Jack M Dodson has been assigned the NPI (National Provider Identifier) 1821069345. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jack M Dodson?
The Jack M Dodson is situated at Po Box 104240, in the city of Jefferson City, state of MO, with the zip code 651104240.
What is Jack M Dodson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jack M Dodson is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Jack M Dodson receive its 1821069345 assignment from the Centers for Medicare & Medicaid Services?
The Jack M Dodson was assigned its 1821069345 by the Centers for Medicare & Medicaid Services on 2006-02-01.
As of what date was the information regarding Jack M Dodson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack M Dodson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-14.