Individual
PHILIP JAMES ROODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 FAIRFIELD DR, SENECA, PA 16346-2130
(540) 458-3300
Mailing address
75 REMIT DR, LOCKBOX 1877, CHICAGO, IL 60675-1877
(866) 916-5259
(231) 922-4030
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101235984
VA
207P00000X
Emergency Medicine Physician
35-07-2796-R
OH
207P00000X
Emergency Medicine Physician
Primary
MD-016462-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009680420008
—
PA
Enumeration date
07/13/2006
Last updated
02/19/2008
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