Individual
REBECCA BRODERICK RODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4801 E CALLE VENTURA, PHOENIX, AZ 85018-2934
(602) 380-9845
(602) 808-9318
Mailing address
4801 E CALLE VENTURA, PHOENIX, AZ 85018-2934
(602) 380-9845
(602) 808-9318
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340175
—
AZ
Enumeration date
05/03/2006
Last updated
08/10/2016
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