Individual
GEORGE M RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1950 CIRCLE OF HOPE DR, SALT LAKE CITY, UT 84112-5500
(801) 581-2121
Mailing address
PO BOX 413033, SALT LAKE CITY, UT 84141-3033
(801) 213-3900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
178034-1205
UT
207RH0000X
Hematology (Internal Medicine) Physician
Primary
178034-1205
UT
207RH0003X
Hematology & Oncology Physician
178034-1205
UT
207ZH0000X
Hematology (Pathology) Physician
178034-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002088271
—
NV
05
—
003039200
—
ID
05
—
09149
—
UT
01
—
107005338104
IHC #
—
01
—
107005338H05
IHC HUNTSMAN #
—
01
—
110027831
MEDICARE RAILROAD #
—
01
—
21435
PEHP #
—
01
—
2235
UNIVERSITY HEALTH PLANS #
—
01
—
3000010
UNITED HEALTH CARE #
—
01
—
6488
DMBA #
—
01
—
870442845R01
EMIA #
—
01
—
PRA01461
MOLINA #
—
01
—
QM0000008689
ALTIUS #
—
Enumeration date
05/09/2006
Last updated
11/16/2021
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