Individual
PATRICIA LISSETTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20940 N TATUM BLVD STE 300, PHOENIX, AZ 85050-7273
(480) 607-0060
(480) 607-5809
Mailing address
20940 N TATUM BLVD STE 300, PHOENIX, AZ 85050-7273
(480) 607-0060
(480) 607-5809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48070
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
858175
—
AZ
Enumeration date
06/09/2010
Last updated
03/13/2018
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