Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE DODGEN, M.D.
Active Sole ProprietorDIANE DODGEN, M.D. is a Primary Care Clinic healthcare provider located in PERRY, Florida. NPI 1134117385 is currently active in the NPPES registry. Verify at CMS.
Primary Care Clinic · PERRY, FL
Registration Details
- NPI Number
- 1134117385
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 12, 2005 (20.854714893036 yrs)
- Last Updated
- Mar 17, 2017
- Licenses
-
ME99971 (FL)ME99971 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
315 E ASH STPERRY, FL, 323472029Browse FL providers · Browse ZIP 32347
- Phone
- 8505843278
- Fax
- 8505848171
- Primary Specialty
-
Primary Care Clinic
261QP2300X
- Additional Specialty
- Internal Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.