Individual
DR. RODERICK V. DIZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PLEASANT VALLEY RD, SUITE 500C, OWENSBORO, KY 42303-9774
(270) 417-7830
(270) 417-7839
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
4301093864
MI
2084N0400X
Neurology Physician
A96585
CA
2084N0400X
Neurology Physician
MD60705551
WA
2084N0400X
Neurology Physician
Primary
TP433
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A965850
—
CA
Enumeration date
08/31/2006
Last updated
10/10/2023
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