Individual
MIGUEL ENRIQUE RODRIGUEZ-CORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
3020 CHILDRENS WAY # MC5023, SAN DIEGO, CA 92123-4223
(858) 966-1700
(801) 373-0639
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/03/2018
Last updated
10/01/2021
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