Organization
ADOBE ENT & ALLERGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RODRIGUEZ DO (PRESIDENT)
(623) 363-5480
Entity
Organization
Contact information
Practice address
20325 N 51ST AVE, BLDG 7, STE 154, GLENDALE, AZ 85308
(623) 363-5480
Mailing address
20325 N 51ST AVE, BLDG 7, STE 154, GLENDALE, AZ 85308
(623) 363-5480
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
231H00000X
Audiologist
—
—
231HA2500X
Assistive Technology Supplier Audiologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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