Healthcare Provider Details

I. General information

NPI: 1437231982
Provider Name (Legal Business Name): CHRISTINE MARIA RODGERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 05/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 HALE PKWY STE 330
DENVER CO
80220-4000
US

IV. Provider business mailing address

4600 HALE PKWY STE 330
DENVER CO
80220-4000
US

V. Phone/Fax

Practice location:
  • Phone: 303-320-8618
  • Fax:
Mailing address:
  • Phone: 303-320-8618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number27616
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: