Individual
RODRIGO ANDRES RODRIGUEZ GRAZIOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3131 LA CANADA ST STE 217, LAS VEGAS, NV 89169-2579
(702) 369-7152
(702) 369-7153
Mailing address
3131 LA CANADA ST STE 217, LAS VEGAS, NV 89169-2579
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
63088
TN
2086S0127X
Trauma Surgery Physician
Primary
63088
TN
390200000X
Student in an Organized Health Care Education/Training Program
RS2015-0337
NM
Other
Enumeration date
04/15/2015
Last updated
02/07/2024
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