JACOB RODRIGUEZ

GARDEN CITY, UT
NPI1316675382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  14190579-1206)
Enumeration Date2022-08-09
Last Update Date2024-11-20
Business Address
JACOB RODRIGUEZ
325 W LOGAN RD
GARDEN CITY, UT 84028-7754
Phone number: 208-232-7862
Mailing Address
JACOB RODRIGUEZ
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7862
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