Individual
BENITO B RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
14502 W MEEKER BLVD, SUN CITY WEST, AZ 85375-5282
(623) 214-4000
(623) 214-4000
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3813
AZ
363AM0700X
Medical Physician Assistant
232
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0435506
—
MT
Enumeration date
06/20/2006
Last updated
10/15/2019
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