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Individual

UBALDO R RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 HERITAGE LNDG, STE 215, SAINT PETERS, MO 63303-8489
(636) 939-4200
(636) 939-4204
Mailing address
1600 HERITAGE LNDG, STE 215, SAINT PETERS, MO 63303-8489
(636) 939-4200
(636) 939-4204

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
29894
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
505243003
MO
Enumeration date
03/31/2006
Last updated
07/22/2013
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