Individual
MR. RUDY NORIEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
5410 W THUNDERBIRD RD, SUITE 101, GLENDALE, AZ 85306-4711
(602) 530-6189
Mailing address
5822 W HEDGEHOG PL, PHOENIX, AZ 85083-7395
(602) 290-2103
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2065
AZ
Other
Enumeration date
07/25/2006
Last updated
11/24/2010
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