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Individual

JOHN C RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
(717) 391-2494
Mailing address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
(717) 391-2494

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD049880L
PA
207XX0801X
Orthopaedic Trauma Physician
MD049880L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015125310008
PA
01
0633977
BLUE SHIELD
PA
01
1148532
AETNA
PA
01
20014846
AMERIHEALTHMERCY
PA
01
259765
HEALTHAMERICA/HEALTHASSUR
PA
01
3268500
BLUE CROSS
PA
Enumeration date
03/25/2006
Last updated
08/26/2022
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