Individual
DAGMARIE CRUZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
287 E HUNT HWY STE 105, SAN TAN VALLEY, AZ 85143-5096
(480) 677-8282
Mailing address
1031 S STEWART APT 2160, MESA, AZ 85202-8840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9963
AZ
363AM0700X
Medical Physician Assistant
Primary
9963
AZ
Other
Enumeration date
09/18/2023
Last updated
11/01/2023
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