Individual
WILLIAM BLAKE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2505 MISSION DR, SUITE 200, JEFFERSON CITY, MO 65109-9508
(573) 681-3759
(573) 681-3659
Mailing address
2505 MISSION DR, SUITE 200, JEFFERSON CITY, MO 65109-9508
(573) 681-3759
(573) 681-3659
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
109903
MO
Other
Enumeration date
08/02/2005
Last updated
05/13/2015
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