Search › Florida › 261QP2300X
Diane Dodgen, M.D
NPI 1134117385 · on the registry since 2005 · sole proprietor
Practice
- Address
- 315 E Ash St
Perry, FL 32347 - Phone
- (850) 584-3278
- Fax
- (850) 584-8171
- Organisation at this address
- Premier Medical Clinic
Premier Medical Pediatrics Clinic IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 261QP2300X
261QP2300X
- Also registered as
- 207R00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida