William Blake Rodgers
Orthopaedic Spine Surgeon
2505 Mission Dr Suite 200
Jefferson City
, Missouri 65109-9508
William Blake Rodgers
Orthopaedic Spine Surgeon
2505 Mission Dr Suite 200
Jefferson City
, Missouri 65109-9508
(573) 681-3659
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- William Blake Rodgers
- 2505 Mission Dr Suite 200
- Jefferson City, MO
- Zip : 65109-9508
- Fax : (573) 681-3659
- Phone : (573) 681-3759
Second Address
- William Blake Rodgers
- 2505 Mission Dr Suite 200
- Jefferson City, MO
- Zip : 65109-9508
- Fax : (573) 681-3659
- Phone : (573) 681-3759
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Is William Blake Rodgers accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 109903 | MO |
National Provider Identifier
| NPI | 1336140177 |
|---|---|
| Provider Name | William Blake Rodgers |
| First Address | Jefferson City, MO 65109-9508 |
| Second Address | Jefferson City, MO 65109-9508 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2005 |
| Last Update Date | 13/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F81060 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.