Individual
DR. MARVIN DALE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
210 SW 89TH ST, OKLAHOMA CITY, OK 73139-8514
(405) 631-1116
(405) 631-1825
Mailing address
210 SW 89TH ST, OKLAHOMA CITY, OK 73139-8514
(405) 631-1116
(405) 631-1825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2192
OK
Other
Enumeration date
11/18/2005
Last updated
03/02/2010
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