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Individual

IDALGIS ELIAS RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN-FNP-BC

Contact information

Practice address
13402 N 32ND ST, PHOENIX, AZ 85032-6047
(602) 569-3999
Mailing address
6725 W LUKE AVE, GLENDALE, AZ 85303-5413
(786) 597-7548

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
289258
AZ

Other

Enumeration date
09/24/2025
Last updated
10/31/2025
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