Individual
DAVID WAYNE RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2124 MIDLOTHIAN DR, ALTADENA, CA 91001-3414
(626) 798-7042
Mailing address
2124 MIDLOTHIAN DR, ALTADENA, CA 91001-3414
(626) 798-7042
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
C34195
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C341950
BLUE SHIELD
CA
01
—
340009839
MEDICARE RR
CA
Enumeration date
08/23/2006
Last updated
03/17/2018
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