| Rodell E. Cruise, M.d., Ltd | |
|
5570 Cougar Trail Rd Dublin VA 24084-3849 | |
| (540) 674-9481 | |
| (540) 674-9548 |
| Full Name | Rodell E. Cruise, M.d., Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 5570 Cougar Trail Rd, Dublin, Virginia |
| Authorized Official Name and Position | Rodell E. Cruise (PRESIDENT) |
| Authorized Official Contact | 5406749481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rodell E. Cruise, M.d., Ltd Po Box 1229 Dublin VA 24084-1229 Ph: (540) 674-9481 | Rodell E. Cruise, M.d., Ltd 5570 Cougar Trail Rd Dublin VA 24084-3849 Ph: (540) 674-9481 |
| NPI Number | 1063600245 |
|---|---|
| Provider Enumeration Date | 10/12/2007 |
| Last Update Date | 09/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063600245 | NPI | - | NPPES |
| 005622093 | Medicaid | VA | |
| 080180343 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101055267 (Virginia) | Primary |
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