Individual
ARTEMIO L RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
39000 BOB HOPE DR, HAL B WALLIS BLDG, RANCHO MIRAGE, CA 92270-3221
(760) 346-0642
(760) 340-9152
Mailing address
1100 N PALM CANYON DR, STE 206, PALM SPRINGS, CA 92262-4426
(760) 883-1600
(760) 520-6644
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19732
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA19732
LICENSE
CA
Enumeration date
06/04/2008
Last updated
10/13/2017
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