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Rex Daniel Dodge, PA-C
Pediatric Emergency Medicine (Pediatrics) Physician in Fayetteville, North Carolina
NPI 1184297012

Rex Daniel Dodge is a Pediatric Emergency Medicine (Pediatrics) Physician based in Fayetteville, NC and is specialized in Pediatric Emergency Medicine. Rex Daniel Dodge practices in Fayetteville, NC and has the professional credentials of PA-C. The NPI Number for Rex Daniel Dodge is 1184297012 and holds a License No. (North Carolina).

The current practice location address for Rex Daniel Dodge is 1638 Owen Dr, Fayetteville, NC and can be reached out via phone at 910-615-4000. You can also correspond with Rex Daniel Dodge through the mailing address at PO BOX 2000, FAYETTEVILLE, NC - 28302-2000 (mailing address contact number: 910-615-6646).

Location: 1638 Owen Dr, Fayetteville, NC, 28302-2000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184297012
Provider Name
Rex Daniel Dodge
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1638 Owen Dr, Fayetteville, NC, 28302-2000
Phone Number
910-615-4000
Fax Number
Provider Enumeration Date
07/19/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0010-13004 01 NC NC MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
1638 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3424
Phone Number
910-615-4000
Fax Number
person
Provider Business Mailing Address Details
Address
1638 Owen Dr
City
Fayetteville
State
North Carolina
Zip
28304-3424
Phone Number
910-615-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Emergency Medicine
Taxonomy
2080P0204X
License No.
0010-13004 (North Carolina)
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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