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Individual

TOM E RODGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 293-9701
(614) 293-3535
Mailing address
7513 MARSTON LN, DUBLIN, OH 43016-7028
(614) 873-2013
(614) 873-2019

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
50. 001967
OH

Other

Enumeration date
06/20/2008
Last updated
06/20/2008
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