JOHNNY R RODRIGUEZ DO

CHOCTAW NATION OF OKLAHOMA

Dr JOHNNY R RODRIGUEZ DO is a male medical professional, specializing in General Surgery. He graduated in 1989 from Oklahoma College Of Osteopathic Medicine And Surgery.

Contact

CHOCTAW NATION OF OKLAHOMA

1 CHOCTAW WAY
TALIHINA
OK
745712022

Tel: 9185677000

JOHNNY R RODRIGUEZ DO Information

Npi 1457390056
Pac Id 0244290864
Professional Enrollment Id I20080130000677
Last Name RODRIGUEZ
First Name JOHNNY
Middle Name R
Suffix
Gender M
Credential DO
Medical School Name OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY
Graduation Year 1989
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CHOCTAW NATION OF OKLAHOMA
Group Practice Pac Id 1759294838
Number Of Group Practice Members 175
Line 1 Street Address 1 CHOCTAW WAY
Line 2 Street Address
Marker Of Address Line 2 Suppression
City TALIHINA
State OK
Zip Code 745712022
Phone Number 9185677000
Hospital Affiliation Ccn 1 370172
Hospital Affiliation Lbn 1 CHOCTAW NATION HEALTH SERVICES AUTHORITY
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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