Search › Idaho › 363A00000X
Dean Rodemack, PA-C
NPI 1548543424 · on the registry since 2011
Practice
- Address
- 401 W Camas Ave
Fairfield, ID 83327 - Phone
- (208) 764-2611
- Fax
- (208) 933-4921
- Organisation at this address
- Family Health Services Corporation
Family Health Services CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho