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1336140177
WILLIAM BLAKE RODGERS
JEFFERSON CITY, MO
NPI
1336140177
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: MO 109903)
Enumeration Date
2005-08-02
Last Update Date
2015-05-13
Business Address
-- WILLIAM BLAKE RODGERS MD
2505 MISSION DR SUITE 200
JEFFERSON CITY, MO 65109-9508
Phone number: 573-681-3759
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Mailing Address
-- WILLIAM BLAKE RODGERS MD
2505 MISSION DR SUITE 200
JEFFERSON CITY, MO 65109-9508
Phone number: 573-681-3759
Copy
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