Provider Demographics
NPI:1730216987
Name:RODGERS, DESIREE VERONICA (MD)
Entity type:Individual
Prefix:DR
First Name:DESIREE
Middle Name:VERONICA
Last Name:RODGERS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:410 W MINERAL KING AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93291-6237
Mailing Address - Country:US
Mailing Address - Phone:559-592-7360
Mailing Address - Fax:559-592-5629
Practice Address - Street 1:1014 SAN JUAN AVE
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:CA
Practice Address - Zip Code:93221-1312
Practice Address - Country:US
Practice Address - Phone:559-592-7360
Practice Address - Fax:559-592-5629
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2021-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG610002080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics