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Individual

DR. DAVID RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
828 SW 4TH ST, MOORE, OK 73160-2413
(405) 799-7400
(405) 799-7405
Mailing address
828 SW 4TH ST, MOORE, OK 73160-2413
(405) 799-7400
(405) 799-7405

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1819
NE
207Q00000X
Family Medicine Physician
7698
NE
207Q00000X
Family Medicine Physician
Primary
8407
OK

Other

Enumeration date
06/14/2016
Last updated
08/08/2024
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