Barry Rodgveller DPM Podiatry Corporation
Organization Active NPI Podiatrist · San Pedro, CA
NPI 1083997985 · NPPES record last updated Jan 11, 2012
Key facts
- NPI
- 1083997985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- BARRY RODGVELLER DPM PODIATRY CORPORATION
- Practice address
- 1360 W 6TH St
Suite 240
San Pedro, CA 90732-3514 - Phone
- (310) 548-3311
- Fax
- (310) 548-3384
- NPI assigned
- Sep 27, 2011
- Organization subpart
- No
Authorized official
- Name
- Barry Rodgveller, DPM
- Title
- President/Owner
- Phone
- (310) 548-3311
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
1360 W 6TH St
Suite 240
San Pedro, CA 90732-3514
Mailing address
1360 W 6TH St
Suite 240
San Pedro, CA 90732-3514
Phone (310) 548-3311
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.