| Dpc Medical | |
|
28 Nathan Ln N Plymouth MN 55441-6306 | |
| (763) 588-7099 | |
| (763) 522-2222 |
| Full Name | Dpc Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 28 Nathan Ln N, Plymouth, Minnesota |
| Authorized Official Name and Position | David K Dodson (PRESIDENT) |
| Authorized Official Contact | 7635887099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dpc Medical 28 Nathan Ln N Plymouth MN 55441-6306 Ph: (763) 588-7099 | Dpc Medical 28 Nathan Ln N Plymouth MN 55441-6306 Ph: (763) 588-7099 |
| NPI Number | 1275881971 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 02/15/2024 |
| Medicare PECOS PAC ID | 2769630292 |
|---|---|
| Medicare Enrollment ID | O20120907000199 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275881971 | NPI | - | NPPES |
| Provider Name | David K Dodson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164698619 PECOS PAC ID: 3173771615 Enrollment ID: I20120907000289 |
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