IndividualActive
Jose Rodriguez, IDMT
NPI 1699054288 · Independent Duty Medical Technicians · Altus Afb, OK
Provider details
- NPI number
- 1699054288
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
301 N 1st St Bldg 46
Altus Afb, OK 73523-5005
Phone: (240) 857-5425
Approximate (ZIP-level) locationGet directions
Mailing address
301 N 1st St Bldg 46
Altus Afb, OK 73523-5005
Registry dates
- Enumerated
- 2011-08-12
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.