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Individual

DR. JOHN WILLIAM RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4650 W SUNSET BLVD, MS # 94, LOS ANGELES, CA 90027-6062
(323) 361-7048
(323) 361-8106
Mailing address
4650 W SUNSET BLVD, MS # 94, LOS ANGELES, CA 90027-6062
(323) 361-7048
(323) 361-8106

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
19509
MN
208000000X
Pediatrics Physician
478
MP
208000000X
Pediatrics Physician
51436
MN
208000000X
Pediatrics Physician
Primary
A115826
CA

Other

Enumeration date
02/22/2007
Last updated
05/02/2012
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