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Individual
DR. ROGER RODBY
Active
Individual
DR. ROGER RODBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036070596
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615381
BC/BS ID NUMBER
IL
05
—
036070596
—
IL
01
—
110042308
RR MEDICARE
GA
Enumeration date
08/24/2006
Last updated
09/25/2012
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