Individual provider · Type 1 NPI

John S. Dodge, PA-C

Surgical Physician Assistant · Aurora, CO

NPI number 1770503153 Active

Practice location

12605 E 16th Ave
Aurora, CO 80045-2545

Call (720) 848-0000 Map

Mailing address

PO Box 110429
Aurora, CO 80042-0429

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA02748 (TX)
Surgical Physician Assistant Primary 363AS0400XPA.0004948 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1770503153

John S. Dodge, PA-C's National Provider Identifier is 1770503153, issued on Jul 20, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aurora, CO. The record was last updated on Apr 26, 2017.