Provider Demographics
NPI:1073531604
Name:RODGERS, PATRICIA JO (DO)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:JO
Last Name:RODGERS
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1395 NW 167TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-5710
Mailing Address - Country:US
Mailing Address - Phone:804-504-7980
Mailing Address - Fax:804-504-7991
Practice Address - Street 1:524 SOUTHPARK BLVD
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-3609
Practice Address - Country:US
Practice Address - Phone:517-887-1713
Practice Address - Fax:517-887-9277
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2020-03-25
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Provider Licenses
StateLicense IDTaxonomies
VA102203617207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine