Organization
CENTRAL COAST GASTROENTEROLOGY MEDICAL GROUP
Active
Organization
CENTRAL COAST GASTROENTEROLOGY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANCE D RODGERS MD (PARTNER)
(805) 786-4563
Entity
Organization
Contact information
Practice address
1255 LAS TABLAS RD, 201, TEMPLETON, CA 93465-9750
(805) 226-4106
(805) 226-4091
Mailing address
1255 LAS TABLAS ROAD, SUITE 201, TEMPLETON, CA 93465-9750
(805) 540-5350
(805) 226-4091
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098050
—
CA
Enumeration date
01/31/2007
Last updated
02/03/2016
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