Alvin Dodson, DC | |
11330 E Central Ave Ste 500, Wichita, KS 67206-2836 | |
(316) 300-6928 | |
Not Available |
Full Name | Alvin Dodson |
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Gender | Male |
Speciality | Chiropractor |
Location | 11330 E Central Ave Ste 500, Wichita, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952702854 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 01-05652 (Kansas) | Primary |
Provider Name | Dodson Chiropractic |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104215268 PECOS PAC ID: 3779894167 Enrollment ID: O20150626000327 |
Mailing Address | Practice Location Address |
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Alvin Dodson, DC 11330 E Central Ave Ste 500, Wichita, KS 67206-2836 Ph: (316) 300-6928 | Alvin Dodson, DC 11330 E Central Ave Ste 500, Wichita, KS 67206-2836 Ph: (316) 300-6928 |
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