RODERICK W FONTENETTE

TRAVIS AFB, CA
NPI1164672499
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  147303)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IN  01069587A)
207P00000X Emergency Medicine
(Licence: OH  35 096666)
207P00000X Emergency Medicine
(Licence: LA  MD.203768)
Enumeration Date2008-09-23
Last Update Date2019-05-17
Business Address
RODERICK W FONTENETTE MD
101 BODIN CIR CENTRAL CREDENTIALING
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3000
Mailing Address
RODERICK W FONTENETTE MD
101 BODIN CIR CENTRAL CREDENTIALING
TRAVIS AFB, CA 94535-1809
Phone number: 707-423-3000