Individual
DR. JOHNNY R RODRIGUEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
105 WALL ST, POTEAU, OK 74953-4433
(918) 635-3100
(918) 635-3398
Mailing address
PO BOX 1177, POTEAU, OK 74953-1177
(918) 635-3100
(918) 635-3398
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3524
OK
Other
Enumeration date
06/06/2006
Last updated
07/08/2007
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