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Individual

MR. MARCO A RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3001 DIVISION ST STE 100, METAIRIE, LA 70002-5854
(504) 620-5520
Mailing address
PO BOX 85007, BATON ROUGE, LA 70884-5007
(225) 313-4700
(225) 313-3656

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
026718
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
316777
SC
01
MD.026718
LA MEDICAL LICENSE
LA
01
N0410
TX MEDICAL LICENSE
TX
Enumeration date
08/16/2007
Last updated
09/11/2018
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