Individual
BARRY NEAL RODGVELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1360 W 6TH ST, SUITE 240, SAN PEDRO, CA 90732-3589
(310) 548-3311
(310) 548-3384
Mailing address
1360 W 6TH ST, SUITE 240, SAN PEDRO, CA 90732-3589
(310) 548-3311
(310) 548-3384
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E16810
—
CA
Enumeration date
10/25/2005
Last updated
06/24/2008
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