| Rodrigo Carrasco, | |
|
420 Polifka Dr, Shaw Afb, SC 29152-5100 | |
| (785) 240-5579 | |
| Not Available |
| Full Name | Rodrigo Carrasco |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 420 Polifka Dr, Shaw Afb, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184264541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rodrigo Carrasco, 7560 Wolf Creek Dr, El Paso, TX 79911-3143 Ph: (850) 687-8290 | Rodrigo Carrasco, 420 Polifka Dr, Shaw Afb, SC 29152-5100 Ph: (785) 240-5579 |
Valerie Luisa Villanueva, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr, Shaw Afb, SC 29152 Phone: 038-956-5428 | |
Melissa Cristina Baker, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 480 Polifka Dr, Shaw Afb, SC 29152 Phone: 803-895-6307 | |
Jesse Jenkins, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 420 Polifka Dr Bldg 1042, Shaw Afb, SC 29152 Phone: 803-717-7099 |