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Individual

CLYDE RORRER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5201
(740) 446-5761
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5201
(740) 446-5761

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34.006789
OH
207Q00000X
Family Medicine Physician
1297
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001721692
BLUE CROSS BLUE SHIELD
WV
05
0043582000
WV
05
0848024
OH
01
3001158
WORKERS COMPENSATION
WV
05
6404532100
KY
Enumeration date
05/27/2006
Last updated
02/09/2015
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