Individual
DR. RODGER STUART ORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 MOUNTAIN RANCH RD STE C-1, SAN ANDREAS, CA 95249-9707
(209) 754-4334
(209) 754-3026
Mailing address
PO BOX 34120, RENO, NV 89533-4120
(775) 747-5050
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G52961
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
G52961
CA
207Q00000X
Family Medicine Physician
G52961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G529610
BLUE SHIELD
CA
01
—
94-3381010
BLUE CROSS
CA
01
—
ZZZ01476Z
BLUE SHIELD
CA
Enumeration date
01/30/2006
Last updated
06/08/2016
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