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NPI Code Detail

MEDICARE: DR. RODGER STUART ORMAN M.D.

MEDICARE: DR. RODGER STUART ORMAN 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
1207LP2900XPain Medicine (Anesthesiology) PhysicianG52961CA
2207PE0004XEmergency Medical Services (Emergency Medicine) PhysicianG52961CA
3207Q00000XFamily Medicine PhysicianG52961CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100G529610OTHERCABLUE SHIELD
294-3381010OTHERCABLUE CROSS
3ZZZ01476ZOTHERCABLUE SHIELD

General Provider Information

NPI Number : 1811968530
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODGER STUART ORMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 34120
Second Line :
City : RENO
State : NV
Zip : 89533-4120
Country : US
Telephone Number : 775-747-5050
Fax Number : 775-747-5005
Provider Business Practice Location Address
First Line : 700 MOUNTAIN RANCH RD STE C-1
Second Line :
City : SAN ANDREAS
State : CA
Zip : 95249-9707
Country : US
Telephone Number : 209-754-4334
Fax Number : 209-754-3026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 06/08/2016

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