Individual
DR. ALEXIS MARCO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 793-2220
(304) 793-2277
Mailing address
973 RIVERWATCH DR, VILLA HILLS, KY 41017-3769
(860) 208-5169
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2019020860
MO
207P00000X
Emergency Medicine Physician
Primary
28433
WV
207P00000X
Emergency Medicine Physician
35.127031
OH
207P00000X
Emergency Medicine Physician
48607
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2010
Last updated
12/14/2022
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