Individual
DR. JODY A. RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 SAINT MARYS MEDICAL PLZ, SUITE 301, JEFFERSON CITY, MO 65101-1604
(573) 636-9000
(573) 635-2656
Mailing address
200 SAINT MARYS MEDICAL PLZ, SUITE 301, JEFFERSON CITY, MO 65101-1604
(573) 636-9000
(573) 635-2656
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
109997
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112892
BCBS
MO
05
—
208217711
—
MO
01
—
240005438
PALMETTO
MO
01
—
293232
HEALTHLINK
MO
01
—
CN2273
RAILROAD GROUP
MO
Enumeration date
01/20/2006
Last updated
05/26/2010
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