Celso F Rodrigues Md Pc | |
2674 Fox Run Dr Imperial MO 63052-2024 | |
(636) 461-2711 | |
(636) 461-0786 |
Full Name | Celso F Rodrigues Md Pc |
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Speciality | Internal Medicine |
Location | 2674 Fox Run Dr, Imperial, Missouri |
Authorized Official Name and Position | Celso F. Rodrigues (PRESIDENT/PHYSICIAN) |
Authorized Official Contact | 6364612711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Celso F Rodrigues Md Pc 2674 Fox Run Dr Imperial MO 63052-2024 Ph: (636) 461-2711 | Celso F Rodrigues Md Pc 2674 Fox Run Dr Imperial MO 63052-2024 Ph: (636) 461-2711 |
NPI Number | 1093994642 |
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Provider Enumeration Date | 10/31/2007 |
Last Update Date | 03/07/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093994642 | NPI | - | NPPES |
DB4357 | Other | MO | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 2001012442 (Missouri) | Primary |
Family Medicine - Slmg South, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Professional Dr, Imperial, MO 63052 Phone: 636-464-4000 Fax: 636-529-0699 | |
Patterson Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 Prehistoric Hill Dr, Imperial, MO 63052 Phone: 636-464-4000 Fax: 636-464-4911 |