| Roderick L. Warren, M.d., P.c. | |
|
801 Saint Marys Dr Suite 303 East Evansville IN 47714-0511 | |
| (812) 477-1560 | |
| (812) 477-1595 |
| Full Name | Roderick L. Warren, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 801 Saint Marys Dr, Evansville, Indiana |
| Authorized Official Name and Position | Roderick Lance Warren (PRESIDENT) |
| Authorized Official Contact | 8124771560 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roderick L. Warren, M.d., P.c. 801 Saint Marys Dr Suite 303 East Evansville IN 47714-0511 Ph: (812) 477-1560 | Roderick L. Warren, M.d., P.c. 801 Saint Marys Dr Suite 303 East Evansville IN 47714-0511 Ph: (812) 477-1560 |
| NPI Number | 1407914195 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407914195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 50003851A (Indiana) | Primary |
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