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BARRY RODGVELLER DPM PODIATRY CORPORATION NPI 1083997985


NPI Information

NPI: 1083997985
Provider Name: BARRY RODGVELLER DPM PODIATRY CORPORATION
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1360 W 6TH ST
SUITE 240
SAN PEDRO, CA
ZIP 90732
Phone: (310) 548-3311
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BARRY RODGVELLER DPM PODIATRY CORPORATION is a podiatrist in San Pedro, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. BARRY RODGVELLER DPM PODIATRY CORPORATION NPI is 1083997985. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1360 W 6TH ST
SUITE 240
SAN PEDRO, CA
ZIP 90732-514
Phone: (310) 548-3311
Fax: (310) 548-3384

The provider's authorized official is Barry Rodgveller .
The authorized official title is President/owner and has the following contact phone number (310) 548-3311.

The enumeration date for this NPI number is 9/27/2011 and was last updated on 1/11/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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