Individual
GAGE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1315 JEFFERSON HWY, NEW ORLEANS, LA 70121-2406
(504) 842-3900
(504) 842-0992
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
330161
LA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/29/2016
Last updated
08/22/2022
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