Individual
RODRIGO CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 POLIFKA DR, SHAW AFB, SC 29152-5100
(785) 240-5579
Mailing address
7560 WOLF CREEK DR, EL PASO, TX 79911-3143
(850) 687-8290
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/13/2020
Last updated
11/25/2024
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