Individual
MRS. DANICE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.S.F.A
Contact information
Practice address
8091 TOWNSHIP LINE RD, SUITE 109, INDIANAPOLIS, IN 46260-2494
(317) 802-9900
(317) 808-9911
Mailing address
8091 TOWNSHIP LINE RD, SUITE 109, INDIANAPOLIS, IN 46260-2494
(317) 802-9900
(317) 808-9911
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
125250
IN
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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