Individual
DR. CHARLES ALLEN RODMAN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
CLAREMORE REGIONAL HOSPITAL, 1415 N. MUSKOGEE PL, CLAREMORE, OK 74017
(918) 341-2556
Mailing address
11311 S KINGSTON AVE, TULSA, OK 74137-7734
(918) 296-7171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4328
OK
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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