| Doctor Name: | MRS. DODY MCLEOD |
| NPI Number: | 1245304815 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | PA14677 |
| Business Practice Address: | 1225 Marshall St Suite 24 Crescent City, CA - 955312281 |
| Business Phone Number: | 7074650884 |
| Business Fax Number: | 7074658356 |
| Mailing Address: | 1225 Marhshall St, Suite 24 CRESCENT CITY |
| State: | CA |
| Postal Code: | 95531 |
| Phone Number: | 7074650884 |
| Fax Number: | 7074658356 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 10/11/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA14677 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |