Individual
CARSON RODEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1552 COFFEE RD FL 1, MODESTO, CA 95355-3122
(209) 521-4372
(095) 232-0052
Mailing address
1552 COFFEE RD FL 1, MODESTO, CA 95355-3122
(095) 214-3722
(095) 232-0052
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A168432
CA
Other
Enumeration date
06/14/2016
Last updated
07/21/2020
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