Individual
RODOLFO AUGUSTO TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8000
(601) 984-1150
Mailing address
103 ST CHARLES DR, MADISON, MS 39110-9087
(413) 495-2325
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
969-L
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2018
Last updated
09/09/2018
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