Individual
RODNEY A MORTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
518 S VAN BUREN RD, CENTRAL BUSINESS OFFICE, EDEN, NC 27288-5033
(336) 623-9711
(336) 627-0778
Mailing address
520 SOUTH VAN BUREN ROAD, SUITE 1, EDEN, NC 27288-5019
(336) 627-7500
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16532
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8961088
—
NC
Enumeration date
05/17/2006
Last updated
04/05/2011
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