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Individual

DR. JUAN B RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1136 E. STUART STREET, BUILDING 3, SUITE 200, FORT COLLINS, CO 80525-1195
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42203
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
028003
KAISER COMMERCIAL NUMBER
CO
05
63670330
CO
Enumeration date
10/21/2005
Last updated
06/04/2021
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