Individual
JOSEPH MICHAEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4000
Mailing address
PO BOX 603, 504 HOLBROOK ST, ERIE, CO 80516
(720) 251-3675
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/17/2018
Last updated
11/17/2018
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