Individual
JASON DANIEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1873
(937) 641-3600
(937) 641-5802
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-5072
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
34.016345
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
34.016345
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0372773
—
OH
Enumeration date
03/21/2019
Last updated
10/29/2024
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