Individual
RODRIGO MARTINEZ MONEDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(308) 626-0177
(318) 629-4833
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
334507
LA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
334507
LA
Other
Enumeration date
05/03/2016
Last updated
12/20/2022
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