Provider Demographics
NPI:1265879084
Name:DODENHOFF, EMILY C (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:C
Last Name:DODENHOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:C
Other - Last Name:WALROTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 55310
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5310
Mailing Address - Country:US
Mailing Address - Phone:205-731-9701
Mailing Address - Fax:
Practice Address - Street 1:1600 7TH AVE SOUTH
Practice Address - Street 2:CPPI 102 DIVISION OF PEDIATRIC CRITICAL CARE
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233
Practice Address - Country:US
Practice Address - Phone:205-638-3342
Practice Address - Fax:205-975-6505
Is Sole Proprietor?:No
Enumeration Date:2013-06-03
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL368682080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine