Organization
CELSO F RODRIGUES MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELSO F. RODRIGUES M.D. (PRESIDENT/PHYSICIAN)
(636) 461-2711
Entity
Organization
Contact information
Practice address
2674 FOX RUN DR, IMPERIAL, MO 63052-2024
(636) 461-2711
(636) 461-0786
Mailing address
2674 FOX RUN DR, IMPERIAL, MO 63052-2024
(636) 461-2711
(636) 461-0786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2001012442
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB4357
RAILROAD MEDICARE
MO
Enumeration date
10/31/2007
Last updated
03/07/2013
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