Provider Demographics
NPI:1033264486
Name:FLOWERS, RODERICK JA-DAVID, MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:RODERICK
Middle Name:JA-DAVID, MICHAEL
Last Name:FLOWERS
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Gender:M
Credentials:DO
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Mailing Address - Street 1:7395 SOUTH HOUGHTON RD
Mailing Address - Street 2:STE 129 SOUTHERN ARIZONA VA HEALTH CARE SYSTEMS SE CBOC
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85747-3305
Mailing Address - Country:US
Mailing Address - Phone:520-664-1831
Mailing Address - Fax:520-664-1842
Practice Address - Street 1:7395 SOUTH HOUGHTON ROAD, SUITE 129
Practice Address - Street 2:SOUTHERN ARIZONA VA HEALTH CARE SYSTEMS, SE CBOC
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85747-3305
Practice Address - Country:US
Practice Address - Phone:520-664-1831
Practice Address - Fax:520-664-1842
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2009-10-09
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Provider Licenses
StateLicense IDTaxonomies
AZ2642207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZVAD000Medicare UPIN