SearchIdaho2255A2300X

Keaton Rodriquez

NPI 1861975294 · on the registry since 2018

Practice

Address
3085 Laurence Ct
Idaho Falls, ID 83402
Phone
(120) 852-0024

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Sex
Male
Record last updated
2018-09-11

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