IndividualActive
Edward Rodriguez, I.D.M.T
NPI 1003043761 · Independent Duty Medical Technicians · Travis Afb, CA
Provider details
- NPI number
- 1003043761
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- I.D.M.T
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
101 Bodin Cir
Travis Afb, CA 94535-1809
Phone: (707) 423-5478
Approximate (ZIP-level) locationGet directions
Mailing address
5029 Rowe Dr
Fairfield, CA 94533-6591
Registry dates
- Enumerated
- 2009-06-19
- Last updated
- 2009-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.