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NPI Code Detail

MEDICARE: DR. RODRIGO C ROLDAN M.D.

MEDICARE:  DR. RODRIGO C ROLDAN  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
1208600000XSurgery Physician0101240814VA

General Provider Information

NPI Number : 1487648606
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODRIGO C ROLDAN M.D.
Provider Business Mailing Address
First Line : 2010 ATHERHOLT RD
Second Line :
City : LYNCHBURG
State : VA
Zip : 24501-1106
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 OAK ST
Second Line :
City : FARMVILLE
State : VA
Zip : 23901-1199
Country : US
Telephone Number : 434-315-2998
Fax Number : 434-392-8191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2005
Last Update Date : 03/31/2014

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Directions to “ DR. RODRIGO C ROLDAN M.D.” Practice Location

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