Individual
DR. LINDA M RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
702 W BROADWAY ST, SPIRO, OK 74959-2430
(918) 962-2442
(918) 962-3895
Mailing address
PO BOX 11449, BELFAST, ME 04915-4005
(918) 962-2442
(918) 962-3895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3525
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100256710A
—
OK
05
—
138645003
—
AR
Enumeration date
06/06/2006
Last updated
12/13/2016
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