Marvin Dale Rodgers D.O.

NPI 1023090610 - Family Medicine - 207Q00000X

NPI Details
NPI 1023090610
Gender Male
Enumeration Date 11/18/2005
Last Updated 03/02/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
210 SW 89TH ST
OKLAHOMA CITY OK, 73139-8514, US
Phone (405) 631-1116
Fax (405) 631-1825
Business Location
210 SW 89TH ST
OKLAHOMA CITY OK, 73139-8514, US
Phone (405) 631-1116
Fax (405) 631-1825
Toxanomy
Taxonomy Code 207Q00000X
License State Oklahoma
License Number 2192
Remove 1023090610 NPI Number
 

According to our database, Dr. Marvin Dale Rodgers D.O. NPI is 1023090610, taxonomy code is 207Q00000X and license number is 2192, license state is located at Oklahoma. Marvin Dale Rodgers D.O. physically located at 210 Sw 89th St, Oklahoma City OK, 73139-8514. NPI Number Marvin Dale Rodgers D.O. has the Individual type.

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1023090610 NPI number is provided on an as is basis without warranty of any kind. 1023090610 is maintained by the National Plan & Provider Enumeration System. The contents of Marvin Dale Rodgers D.O. are for informational purposes only.