Miguel Antonio Rodriguez JR., IDMT

NPI #1982175113 in Joint Base Lewis Mcchord, Washington

Provider Information

NPI Number: 1982175113
Entity Type: Individual
Name: Miguel Antonio Rodriguez JR., IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Medical Technicians
Credential: IDMT
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 690 BARNES BLVD
City: Joint Base Lewis Mcchord
State: Washington
ZIP Code: 98438-1303
Phone: (180) 040-4450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians	1710I1003X	Primary

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