Individual
MR. HENDRY THOMPSON RODMAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
25 RIDGEWOOD RD, SPRINGFIELD, VT 05156-3057
(207) 497-5614
Mailing address
70 SNARE CREEK LN, JONESPORT, ME 04649-3139
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA2433
ME
363A00000X
Physician Assistant
Primary
055.0031704
VT
363A00000X
Physician Assistant
PA2433
ME
Other
Enumeration date
10/05/2022
Last updated
10/24/2023
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