NPI 1003043761

Edward Sean Rodriguez, IDMT

Practitioner Independent Duty Medical Technicians Travis Afb, CA

Practice location

Address: 101 Bodin Cir, Travis Afb, CA 94535-1809
Phone: (707) 423-5478
Mailing address: 5029 Rowe Dr, Fairfield, CA 94533-6591

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in California →

Registry record

NPI: 1003043761
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2009
Record last updated: 19 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.