# GREGORIO L. RODRIGUEZ, M.D., P.C.

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

## Provider details

- **NPI number:** 1871815597
- **Authorized official:** DR. GREGORIO L. RODRIGUEZ M.D. (PRESIDENT)
- **Authorized official phone:** (573) 683-6066

## Contact information

- **Practice address:** 1403 E. MARSHALL STREET, CHARLESTON, MO 63834
- **Practice address phone:** (573) 683-2327
- **Practice address fax:** (573) 683-2373
- **Mailing address:** P.O. BOX 394, 1403 E. MARSHALL STREET, CHARLESTON, MO 63834
- **Mailing address phone:** (573) 683-2327
- **Mailing address fax:** (573) 683-2373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 33173 | MO | Yes |

## Other

- **Enumeration date:** 02/22/2010
- **Last updated:** 12/07/2011