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Individual
DR. RODNEY W ROOF
Active
Individual
DR. RODNEY W ROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
3134
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000367060
ANTHEM
OH
05
—
2145191
—
OH
01
—
294797
AMERIGROUP
OH
01
—
310817854026
CARE SOURCE
OH
01
—
4139962
MEDICARE
OH
01
—
480028277
RAIL ROAD MEDICARE
OH
Enumeration date
08/17/2005
Last updated
12/29/2014
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