Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethan Dodge

Individual provider Pediatrics Physician · NPI 1962938464

Dr. Ethan Dodge is a Pediatrics Physician in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017

Practice location Address checks out

500 W Thomas Rd Ste 250
Phoenix, AZ 85013-4215
Phone: (602) 406-3520
Fax: (602) 406-6162
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1919 E Thomas Rd, Phoenix, AZ 85016 — (602) 546-2923

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 60154 (AZ)

Record details

NPI number1962938464
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 4, 2017
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Other providers in Phoenix