Individual
DR. RODD L HILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2707 W EDGEWOOD DR, JEFFERSON CITY, MO 65109-5888
(573) 635-0233
(573) 635-7436
Mailing address
2707 W EDGEWOOD DR, JEFFERSON CITY, MO 65109-5888
(573) 635-0233
(573) 635-7436
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
112819
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110240313
RAILROAD MEDICARE
MO
05
—
205818008
—
MO
Enumeration date
09/26/2005
Last updated
05/22/2012
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