Grigoriy Tsotneevich Rodonaia, M.D. PA

NPI #1023210317 in Beaumont, Texas

Provider Information

NPI Number: 1023210317
Entity Type: Individual
Name: Grigoriy Tsotneevich Rodonaia, M.D. PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: M.D. PA
Enumeration Date: May 31, 2007
Last Updated: Feb 19, 2010

Practice Location

Address: 2955 HARRISON ST
Address 2: STE. 200
City: Beaumont
State: Texas
ZIP Code: 77702-1154
Phone: (409) 923-1617

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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