Organization
BARRY RODGVELLER DPM PODIATRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY RODGVELLER DPM (PRESIDENT/OWNER)
(310) 548-3311
Entity
Organization
Contact information
Practice address
1360 W 6TH ST, SUITE 240, SAN PEDRO, CA 90732-3514
(310) 548-3311
(310) 548-3384
Mailing address
1360 W 6TH ST, SUITE 240, SAN PEDRO, CA 90732-3514
(310) 548-3311
(310) 548-3384
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Enumeration date
09/27/2011
Last updated
01/11/2012
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