Jacob Rodriguez

NPI #1316675382 in Garden City, Utah

Provider Information

NPI Number: 1316675382
Entity Type: Individual
Name: Jacob Rodriguez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Aug 9, 2022
Last Updated: Nov 20, 2024

Practice Location

Address: 325 W LOGAN RD
City: Garden City
State: Utah
ZIP Code: 84028-7754
Phone: (208) 232-7862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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