Provider Demographics
NPI:1639265481
Name:BARRON, RODNEY STEPHEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:STEPHEN
Last Name:BARRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:465 N ROXBURY DR
Mailing Address - Street 2:1012
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-4206
Mailing Address - Country:US
Mailing Address - Phone:310-657-5888
Mailing Address - Fax:310-300-0514
Practice Address - Street 1:465 N ROXBURY DR
Practice Address - Street 2:1012
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4206
Practice Address - Country:US
Practice Address - Phone:310-657-5888
Practice Address - Fax:310-300-0514
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG40052208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G40052Medicare ID - Type Unspecified
CAA92156Medicare UPIN