Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEAN WILLIAM RODEMACK, PA-C
ActiveDEAN WILLIAM RODEMACK, PA-C is a Physician Assistant healthcare provider located in FAIRFIELD, Idaho. NPI 1548543424 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FAIRFIELD, ID
Registration Details
- NPI Number
- 1548543424
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2011 (14.877960002213 yrs)
- Last Updated
- Apr 8, 2021
- Licenses
-
PA60245393 (WA)PA-1020 (ID)
Practice Information
- Address
-
401 W CAMAS AVEFAIRFIELD, ID, 83327Browse ID providers · Browse ZIP 83327
- Phone
- 2087642611
- Fax
- 2089334921
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.