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Individual

BRETT C RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1055 PARKWAY DR, SUITE A, NATCHITOCHES, LA 71457-6276
(318) 352-6464
(318) 352-2488
Mailing address
1055 PARKWAY DR, SUITE A, NATCHITOCHES, LA 71457-6276
(318) 352-6464
(318) 352-2488

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD023201
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1495476
LA
Enumeration date
11/10/2005
Last updated
06/01/2012
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