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NPI Code Detail

MEDICARE: JAMES ROBERT RODIO M.D.

MEDICARE: JAMES ROBERT RODIO 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
12084P0800XPsychiatry Physician35.072395OH

General Provider Information

NPI Number : 1275614513
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMES ROBERT RODIO M.D.
Provider Business Mailing Address
First Line : 12557 RAVENWOOD DR
Second Line :
City : CHARDON
State : OH
Zip : 44024-9009
Country : US
Telephone Number : 440-285-3568
Fax Number : 440-285-4552
Provider Business Practice Location Address
First Line : 12557 RAVENWOOD DR
Second Line :
City : CHARDON
State : OH
Zip : 44024-9009
Country : US
Telephone Number : 440-285-3568
Fax Number : 440-285-4552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 11/18/2024

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Directions to “ JAMES ROBERT RODIO M.D.” Practice Location

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