Individual
EDWIN J RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4643 S WOODHAVEN WAY, BILLINGS, MT 59106-2493
(605) 920-1965
Mailing address
4643 S WOODHAVEN WAY, BILLINGS, MT 59106-2493
(605) 920-1965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5369
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5603970
—
SD
Enumeration date
05/27/2005
Last updated
07/08/2007
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