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PEDRO ALONZO RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
2100 US-61, VICKSBURG, MS 39183
(601) 883-5000
Mailing address
135 BREMEN WAY, MADISON, MS 39110-6949
(662) 251-5417

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00888
MS
390200000X
Student in an Organized Health Care Education/Training Program
MS

Other

Enumeration date
01/24/2025
Last updated
04/22/2025
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