Jacob Rodriguez Valid NPI
Individual provider · Physician Assistant · Garden City, UT
- NPI
- 1316675382
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 14190579-1206 (UT)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2022-08-09
- Last updated
- 2024-11-20
Practice location
325 W Logan Rd
Garden City, UT 84028-7754
(208) 232-7862