Individual
JOSE LUIS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
31 S STANFIELD RD, SUITE 201, TROY, OH 45373-2374
(937) 440-7788
(937) 440-7177
Mailing address
31 S STANFIELD RD, SUITE 201, TROY, OH 45373-2374
(937) 440-7788
(937) 440-7177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003861
OH
Other
Enumeration date
08/30/2013
Last updated
10/15/2020
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