Individual
DR. JUSTIN BLAKE RODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2222 N NEVADA AVE, COLORADO SPRINGS, CO 80907-6819
(719) 776-5816
Mailing address
51 PONDEROSA LANE, GUNNISON, CO 81230
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
TL.0005429
CO
Other
Enumeration date
11/01/2017
Last updated
11/01/2017
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