Individual
ROBERT L RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 W BETHANY HOME RD, PHOENIX, AZ 85015-2443
(602) 249-0212
Mailing address
2222 S DOBSON RD, SUITE 1100, MESA, AZ 85202-6481
(480) 839-3313
(480) 839-4182
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20171
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055998
—
AZ
01
—
860373636
HUMANA GROUP #
AZ
01
—
AZ0728670
BC BS
AS
Enumeration date
05/07/2007
Last updated
11/12/2007
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