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NPI Code Detail

MEDICARE: DR. TIMOTHY J RODGERS M. D.

MEDICARE: DR. TIMOTHY J RODGERS M. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0300XGeriatric Medicine (Internal Medicine) Physician45729CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215939541
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY J RODGERS M. D.
Provider Business Mailing Address
First Line : 5920 MCINTYRE ST
Second Line :
City : GOLDEN
State : CO
Zip : 80403-7445
Country : US
Telephone Number : 303-949-1250
Fax Number :
Provider Business Practice Location Address
First Line : 5920 MCINTYRE ST
Second Line :
City : GOLDEN
State : CO
Zip : 80403-7445
Country : US
Telephone Number : 303-949-1250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 11/19/2015

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