Individual
MR. BENJAMIN R RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS, PA-C
Contact information
Practice address
1420 AHTANUM RIDGE DR, UNION GAP, WA 98903-1839
(509) 454-7700
(509) 454-7710
Mailing address
1420 AHTANUM RIDGE DR, UNION GAP, WA 98903-1839
(509) 454-7700
(509) 454-7710
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 60108079
WA
Other
Enumeration date
09/22/2009
Last updated
07/03/2020
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