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Individual

DR. RICHARD B. RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13345 ILLINOIS ST, CARMEL, IN 46032-3318
(317) 396-1300
Mailing address
13345 ILLINOIS ST, CARMEL, IN 46032-3318
(317) 396-1300

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
01060763
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000640582
ANTHEM BLUE CROSS AND BLUE SHIELD
IN
05
200527350
IN
Enumeration date
02/21/2006
Last updated
02/23/2021
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