Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 35531 | AZ |
NPI | 1013071596 |
---|---|
Provider Name | Daniel D Rodriguez |
First Address | Phoenix, AZ 85038-9211 |
Second Address | Scottsdale, AZ 85257-3809 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 07/12/2007 |