Provider Demographics
NPI:1417936659
Name:MAGARGLE, RODNEY LYNN (MD)
Entity Type:Individual
Prefix:
First Name:RODNEY
Middle Name:LYNN
Last Name:MAGARGLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:R.
Other - Middle Name:LYNN
Other - Last Name:MAGARGLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3335 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:CAMP HILL
Mailing Address - State:PA
Mailing Address - Zip Code:17011-4424
Mailing Address - Country:US
Mailing Address - Phone:717-763-9311
Mailing Address - Fax:717-730-6039
Practice Address - Street 1:3335 MARKET ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4424
Practice Address - Country:US
Practice Address - Phone:717-763-9311
Practice Address - Fax:717-730-6039
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-16
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015374E207R00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA110235385Medicare PIN
PA076265Medicare PIN
PAB35080Medicare UPIN