Individual
DOMINIC JOHN RODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
41 SANDERSON RD, STE 207, SMITHFIELD, RI 02917-2602
(401) 949-3220
Mailing address
33 SYMONDS AVE, WARWICK, RI 02889-3517
(508) 685-6155
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
DPM00342
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLPR00104
RHODE ISLAND LIMITED LISCENSE NUMBER
RI
01
—
DPM00342
RI STATE LICENSE
RI
Enumeration date
07/14/2011
Last updated
12/17/2018
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