Organization
RODRIGUEZ BAISI PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL RODRIGUEZ MD (OWNER)
(907) 770-9600
Entity
Organization
Contact information
Practice address
2530 DEBARR RD, ANCHORAGE, AK 99508-2948
(907) 258-7575
Mailing address
12911 MONTEREY CIR, ANCHORAGE, AK 99516-2753
(907) 258-7575
(907) 770-0302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
933541
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
933541
AK BUSINESS LICENSE
AK
Enumeration date
02/10/2010
Last updated
02/10/2010
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