Individual
DR. RODNEY GLEN COURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3880 STOCKTON HILL RD STE 103128, KINGMAN, AZ 86409-0595
(928) 279-1387
(928) 757-7272
Mailing address
3880 STOCKTON HILL RD STE 103128, KINGMAN, AZ 86409-0595
(928) 279-1387
(928) 757-7272
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30616
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726044
—
AZ
Enumeration date
09/23/2006
Last updated
02/28/2012
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