Individual
RODGER W ALTHOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 24TH ST, ANACORTES, WA 98221
(360) 299-5142
(360) 299-2043
Mailing address
1211 24TH ST, ANACORTES, WA 98221-2562
(360) 299-1300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
AA8830778
WA
208600000X
Surgery Physician
MD421172
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016483700003
—
PA
01
—
1530903
GATEWAY
—
01
—
548253
BCBS
—
Enumeration date
05/10/2006
Last updated
01/24/2019
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