Individual
DANIEL C RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2200 BONFORTE BLVD, PUEBLO, CO 81001-4901
(719) 549-2085
Mailing address
489 CRYSTAL HILLS BLVD, MANITOU SPRINGS, CO 80829-2735
(719) 287-3941
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001575
CO
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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