Individual
DR. RODRIGO GOMEZ CORDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1112 VERGES AVE, NORFOLK, NE 68701
(402) 379-8717
(402) 379-0447
Mailing address
1112 VERGES AVE, NORFOLK, NE 68701
(402) 379-8717
(402) 379-0447
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
15892
NE
208D00000X
General Practice Physician
15892
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06484
BLUE CROSS BLUE SHIELD NE
—
01
—
2407
MIDLANS CHOICE
—
05
—
47080766801
—
NE
Enumeration date
12/20/2006
Last updated
09/28/2017
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