Organization
RODTREE WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY PEARSON (OWNER)
(602) 690-1643
Entity
Organization
Contact information
Practice address
12375 W TURNEY AVE, AVONDALE, AZ 85392-4283
(602) 690-1643
(602) 535-0632
Mailing address
12375 W TURNEY AVE, AVONDALE, AZ 85392-4283
(602) 690-1643
(602) 535-0632
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
303384
—
AZ
Enumeration date
02/08/2011
Last updated
02/08/2011
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