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Search › Idaho › 1041C0700X

Randy Rodriquez

NPI 1932660289 · on the registry since 2019

Practice

Address
150 Shoup Ave Ste 17
Idaho Falls, ID 83402
Phone
(208) 528-5700
Fax
(208) 528-4747
Organisation at this address
Idaho Dept Of Health & Welfare Region 7 Amh Psr If
Idaho Dept Of Health & Welfare Region 7 Cmh Psr If
Idaho Dept Of Health & Welfare Region 7 Cmh Clinic If
Idaho Department Of Health & Welfare Region 7 Amh Clinic If
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-03-28

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