# WILMAR C RODRIGUEZ, M.D., PROFESSIONAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164411286
- **Authorized official:** WILMAR RODRIGUEZ M.D. (PRESIDENT)
- **Authorized official phone:** (316) 321-7683

## Contact information

- **Practice address:** 700 W CENTRAL AVE, SUITE 106, EL DORADO, KS 67042-2184
- **Practice address phone:** (316) 321-7683
- **Practice address fax:** (316) 322-7750
- **Mailing address:** PO BOX 847, EL DORADO, KS 67042-0847
- **Mailing address phone:** (316) 321-7683
- **Mailing address fax:** (316) 322-7750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 24390 | KS | Yes |

## Other

- **Enumeration date:** 10/20/2005
- **Last updated:** 08/22/2020