Individual
RAUL RODRIGUEZ-FEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
132 WALNUT ST, JOHNSTOWN, PA 15901-1621
(814) 536-7386
(814) 536-7593
Mailing address
132 WALNUT ST, JOHNSTOWN, PA 15901-1621
(814) 536-7386
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
MD041428E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01174425
—
PA
Enumeration date
10/10/2005
Last updated
04/13/2011
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