Organization
ROBERT RODDY M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RODDY (PSYCHIATRY)
(651) 999-0263
Entity
Organization
Contact information
Practice address
1690 UNIVERSITY AVE W, #120, ST. PAUL, MN 55104
(651) 999-0263
(651) 999-0264
Mailing address
1690 UNIVERSITY AVE W, #120, ST. PAUL, MN 55104
(651) 999-0263
(651) 999-0264
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31580
MN
2084P0804X
Child & Adolescent Psychiatry Physician
31580
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
459888100
—
MN
Enumeration date
01/22/2010
Last updated
01/22/2010
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