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RODNEY BALTAZAR — OIG Excluded Provider (ELKTON, MD, 1128a4)

RODNEY BALTAZAR — OIG Excluded Provider (ELKTON, MD, 1128a4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: RODNEY BALTAZAR; Type: Individual; Provider category: PHYSICIAN (MD, DO).

NameRODNEY BALTAZAR
TypeIndividual
Provider categoryPHYSICIAN (MD, DO)
SpecialtyGENERAL PRACTICE
CityELKTON
StateMD
ZIP21921
Exclusion authority1128a4
Exclusion reasonFelony conviction relating to controlled substances
Exclusion date2014-06-19
SourceHHS-OIG LEIE

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