Individual
SAM C RODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4221 DALE BLVD, WOODBRIDGE, VA 22193
(703) 670-2176
(703) 730-6268
Mailing address
4221 DALE BLVD, WOODBRIDGE, VA 22193
(703) 670-2176
(703) 730-6268
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101049843
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6016146
—
VA
Enumeration date
08/05/2006
Last updated
07/08/2007
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