Individual
ROBERT OLIVER RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 E APPLE ST STE 2200, DAYTON, OH 45409-2939
(937) 208-2091
(937) 208-4007
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.399298
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023449
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0334095
—
OH
Enumeration date
06/20/2018
Last updated
10/26/2020
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