Individual
STEPHEN G RODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
90 GOOD DR STE 101, LANCASTER, PA 17603-4360
(717) 299-3020
(717) 299-4655
Mailing address
90 GOOD DR STE 101, LANCASTER, PA 17603-4360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS005569L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012367330001
—
PA
01
—
01380302
CAPITAL BLUE CROSS
PA
01
—
1813
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/30/2006
Last updated
04/09/2021
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