Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | A42960 | CA |
NPI | 1083781983 |
---|---|
Provider Name | Nancy D. Dodd |
First Address | Anaheim, CA 92807-3028 |
Second Address | Anaheim, CA 92807-3028 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 01/12/2021 |