Individual provider · Type 1 NPI

Edgar Omar Rodriguez, RDH

Military Health Care Provider · Norfolk, VA

NPI number 1093913402 Active

Practice location

Uss Bataan LHD-5, Fpo Ae
Norfolk, VA 09554-1657

Call (757) 445-6344 Map

Mailing address

20290 Apricot Ln
Caldwell, ID 83607-9480

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000X7920 (NC)

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1093913402

Edgar Omar Rodriguez, RDH's National Provider Identifier is 1093913402, issued on Jul 6, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Norfolk, VA. The record was last updated on Jul 8, 2007.