Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 172961 | CA |
N | 2080P0208X | Pediatric Infectious Diseases | DR.0063565 | CO |
NPI | 1134515851 |
---|---|
Provider Name | Daniel Scott Dodson |
First Address | Sacramento, CA 95817 |
Second Address | Sacramento, CA 95817 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2015 |
Last Update Date | 20/10/2021 |