| Jacob Rodriguez, | |
|
325 W Logan Rd, Garden City, UT 84028-7754 | |
| (208) 232-7862 | |
| Not Available |
| Full Name | Jacob Rodriguez |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 325 W Logan Rd, Garden City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316675382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 14190579-1206 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Rodriguez, 500 S 11th Ave Ste 400, Pocatello, ID 83201-4880 Ph: (208) 232-7862 | Jacob Rodriguez, 325 W Logan Rd, Garden City, UT 84028-7754 Ph: (208) 232-7862 |
Kristin K Buys, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 288 S Paradise Parkway, Garden City, UT 84028 Phone: 435-255-1630 Fax: 435-946-9124 | |
Nathan Gracey, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 325 W. Logan Highway, Garden City, UT 84028 Phone: 435-946-3660 | |
Tracy Ann Seel, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 288 S Paradise Parkway, P.o. Box 154, Garden City, UT 84028 Phone: 435-255-1630 Fax: 435-946-9124 |