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Contact Information

GREGORIO L RODRIGUEZ, MD
1403 E. MARSHALL STREET
CHARLESTON, MO63834
 Phone: 573-683-2327
 Fax: 573-683-2373
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GREGORIO L RODRIGUEZ · (Male)

NPI # 1790883064
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 12/29/2016 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 33173
  • MO Medicaid 200006500
  • MO Other 11432 BCBS
  • MO Other 863024 FIRST HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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