Individual
MATTHEW RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4306
(719) 595-7886
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.135143
OH
207P00000X
Emergency Medicine Physician
Primary
DR.0061741
CO
Other
Enumeration date
04/05/2016
Last updated
07/18/2019
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