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Individual
HALEIGH T RODGERS
Active
Individual
HALEIGH T RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002064A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001034507
ANTHEM PTAN
IN
01
—
068010305
MEDICARE PTAN
IN
01
—
266430789
MEDICARE PTAN
IN
01
—
267030221
MEDICARE PTAN
IN
05
—
300023448
—
IN
01
—
Q00098268
RAILROAD PTAN
IN
Enumeration date
07/21/2016
Last updated
02/15/2025
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