IndividualActive
Miguel Rodriguez, IDMT
NPI 1982175113 · Independent Duty Medical Technicians · Joint Base Lewis Mcchord, WA
Provider details
- NPI number
- 1982175113
- 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
690 Barnes Blvd
Joint Base Lewis Mcchord, WA 98438-1303
Phone: (180) 040-4450
Approximate (ZIP-level) locationGet directions
Mailing address
19330 18th Avenue Ct E
Spanaway, WA 98387-8590
Registry dates
- Enumerated
- 2018-12-16
- Last updated
- 2018-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.