# DR. MATTHEW DALE RODGERS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1578765855
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24609 | NE | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | 0016970 | VT | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | 323034 | NY | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | 95572 | GA | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 08/09/2023
