Individual
DOUGLAS ALLEN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-5401
(859) 344-1600
(859) 344-0091
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 344-1600
(859) 344-0091
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
01091477A
IN
2086S0129X
Vascular Surgery Physician
Primary
58505
KY
2086S0129X
Vascular Surgery Physician
TP808
KY
Other
Enumeration date
05/03/2018
Last updated
01/24/2024
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