Individual
DR. BRADLEY JOHN RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
702 WEST 34TH STREET, ERIE, PA 16508
(814) 868-5411
Mailing address
2906 WILLOWOOD DR, ERIE, PA 16506-5131
(814) 657-1878
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS043828
PA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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