Individual
VANCE D RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 BISHOP ST STE 230, SAN LUIS OBISPO, CA 93401-4661
(805) 434-5530
(805) 786-4220
Mailing address
1400 E. CHURCH STREET, ATTENTION- MEDICAL STAFF OFFICE, SANTA MARIA, CA 93454
(805) 739-3954
(805) 739-3060
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G44433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G444330
—
CA
01
—
G44433
MEDICAL LICENSE NUMBER
CA
Enumeration date
11/10/2005
Last updated
01/23/2020
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