Individual
JEREMY SCOTT RODESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 7TH ST BLDG 700700-A, ROBINS AFB, GA 31098-2227
(913) 702-6488
Mailing address
655 7TH ST BLDG 700-A78, ROBINS AFB, GA 31098-2227
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
01/28/2025
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