Individual
RICARDO J RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1060 GAFFNEY RD, FT WAINWRIGHT, AK 99703-5002
(907) 361-6028
(907) 361-4847
Mailing address
1060 GAFFNEY RD, FT WAINWRIGHT, AK 99703-5002
(907) 361-5163
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
259131
NY
Other
Enumeration date
11/19/2007
Last updated
02/13/2019
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