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Individual
MARK L RODKEY
Active
Individual
MARK L RODKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
35064164
OH
207P00000X
Emergency Medicine Physician
N4706
TX
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
N4706
TX
208000000X
Pediatrics Physician
N4706
TX
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
79992
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0968145
—
OH
01
—
942460636138
CARESOURCE
OH
Enumeration date
06/01/2006
Last updated
09/25/2025
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