Individual
DR. RHODERIC PETER MIRKIN
Active
Individual
DR. RHODERIC PETER MIRKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
109865
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0900210
UNITED HEALTHCARE
MO
01
—
136643
GROUP HEALTH PLAN
MO
01
—
200046096
RAILROAD MEDICARE
MO
01
—
2102999001
CIGNA
MO
01
—
26919
BLUE CROSS BLUE SHIELD
MO
01
—
283694
HEALTHLINK
MO
01
—
951747
AETNA
MO
Enumeration date
05/17/2006
Last updated
03/16/2021
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