Search › Missouri › 207R00000X
Jonnathan Rodriguez, MD
NPI 1811410541 · on the registry since 2017 · sole proprietor
Practice
- Address
- 755 Dunn Rd Ste 110
Hazelwood, MO 63042 - Phone
- (314) 731-4222
- Fax
- (314) 731-4020
- Clinicians at this address
- 9
Additional practice sites
- 621 South New Ballas, St. Louis, MO
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 207R00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri