Provider Demographics
NPI:1770622102
Name:GETER, RODNEY K (MD)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:K
Last Name:GETER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 505164
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63150-5164
Mailing Address - Country:US
Mailing Address - Phone:417-829-4620
Mailing Address - Fax:417-829-4316
Practice Address - Street 1:1229 E SEMINOLE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-2227
Practice Address - Country:US
Practice Address - Phone:417-820-9330
Practice Address - Fax:417-820-9358
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2014-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO36081208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201916525Medicaid
AR112518001Medicaid
AR112518001Medicaid
MO008013268Medicare PIN