Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELMER G DODGE JR., FNP
ActiveELMER G DODGE JR., FNP is a Nurse Practitioner healthcare provider located in STAR, Idaho. NPI 1508918236 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · STAR, ID
Registration Details
- NPI Number
- 1508918236
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.572206737583 yrs)
- Last Updated
- Sep 1, 2020
- Licenses
-
NP534A (ID)NP-534A (ID)
Practice Information
- Address
-
9858 W STATE STSTAR, ID, 836695210Browse ID providers · Browse ZIP 83669
- Phone
- 2082860666
- Fax
- 2082860565
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in STAR, ID
| Name | Credential | NPI |
|---|---|---|
| KAYLA MARIE WOODS | FNP-C | 1740009232 |
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.