| Celso F Rodrigues Md Pc | |
| 
					2674 Fox Run Dr Imperial MO 63052-2024  | |
| (636) 461-2711 | |
| (636) 461-0786 | 
| Full Name | Celso F Rodrigues Md Pc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 2674 Fox Run Dr, Imperial, Missouri | 
| Authorized Official Name and Position | Celso F. Rodrigues (PRESIDENT/PHYSICIAN) | 
| Authorized Official Contact | 6364612711 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Celso F Rodrigues Md Pc 2674 Fox Run Dr Imperial MO 63052-2024 Ph: (636) 461-2711  | Celso F Rodrigues Md Pc 2674 Fox Run Dr Imperial MO 63052-2024 Ph: (636) 461-2711  | 
| NPI Number | 1093994642 | 
|---|---|
| Provider Enumeration Date | 10/31/2007 | 
| Last Update Date | 03/07/2013 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1093994642 | NPI | - | NPPES | 
| DB4357 | Other | MO | RAILROAD MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 2001012442 (Missouri) | Primary | 
Family Medicine - Slmg South, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Professional Dr, Imperial, MO 63052 Phone: 636-464-4000 Fax: 636-529-0699  | |
Patterson Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1502 Prehistoric Hill Dr, Imperial, MO 63052 Phone: 636-464-4000 Fax: 636-464-4911  |