Individual provider · Type 1 NPI

Elena Dodge, MD

Student in an Organized Health Care Education/Training Program · Tacoma, WA

NPI number 1992449235 Active

Practice location

521 Martin Luther King Jr Way
Tacoma, WA 98405-4238

Call (253) 792-6680 Map

Fax (253) 403-2915

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1992449235

Elena Dodge, MD's National Provider Identifier is 1992449235, issued on Apr 22, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tacoma, WA. The record was last updated on Apr 22, 2022.