Individual
DR. PAUL A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
715 N SAINT JOSEPH AVE, HASTINGS, NE 68901-4451
(402) 461-5191
(402) 461-5088
Mailing address
PO BOX 2176, HASTINGS, NE 68902-2176
(402) 463-0404
(402) 462-5057
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20398
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06118
BCBS OF NEBRASKA
NE
01
—
101346
BCBS KANSAS
KS
01
—
68901B012
TRICARE
—
01
—
9641
MIDLANDS CHOICE
NE
05
—
CHILDRENS MERCY
—
KS
01
—
H00776
STERLING OPTION ONE
—
01
—
H007776
COVENTRY HEALTH NE
NE
Enumeration date
06/27/2005
Last updated
10/24/2007
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