Healthcare Provider Details

I. General information

NPI: 1699602334
Provider Name (Legal Business Name): RODNEY A SAENZ
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

532 POLE LINE RD
TWIN FALLS ID
83301-3042
US

IV. Provider business mailing address

3081 E 3400 N
TWIN FALLS ID
83301-0321
US

V. Phone/Fax

Practice location:
  • Phone: 208-944-3070
  • Fax:
Mailing address:
  • Phone: 208-613-4283
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: