Individual
DANIEL JACOB RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
631 N BROAD STREET EXT, GROVE CITY, PA 16127-4603
(724) 450-7246
Mailing address
631 N BROAD STREET EXT, GROVE CITY, PA 16127-4603
(724) 458-5442
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA061412
PA
363A00000X
Physician Assistant
OA005190
PA
Other
Enumeration date
04/06/2020
Last updated
07/06/2020
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