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1811953474

NPI Code Detail

MEDICARE: DR. ROBERT MARK RODGER MD

MEDICARE: DR. ROBERT MARK RODGER MD

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
1	207X00000X	Orthopaedic Surgery Physician	33885	NC
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	33885	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P01047983	OTHER		RR MEDICARE PTAN

Other Identifiers

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

General Provider Information

NPI Number	:	1811953474
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT MARK RODGER MD

Provider Business Mailing Address
First Line	:	3787 SHIPYARD BLVD
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-6148
Country	:	US
Telephone Number	:	910-332-3800
Fax Number	:	910-763-8804

Provider Business Practice Location Address
First Line	:	3787 SHIPYARD BLVD
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-6148
Country	:	US
Telephone Number	:	910-332-3800
Fax Number	:	910-763-8804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2006
Last Update Date	:	09/10/2012

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Directions to “ DR. ROBERT MARK RODGER MD” Practice Location

Language	Start Address	Practice Location

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