Individual
DR. ROBERT MARK RODGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3787 SHIPYARD BLVD, WILMINGTON, NC 28403-6148
(910) 332-3800
(910) 763-8804
Mailing address
3787 SHIPYARD BLVD, WILMINGTON, NC 28403-6148
(910) 332-3800
(910) 763-8804
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
33885
NC
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
33885
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8972798
—
NC
01
—
P01047983
RR MEDICARE PTAN
—
Enumeration date
04/24/2006
Last updated
09/10/2012
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