Individual
DR. SAMUEL WILLIAM RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
(480) 233-9505
Mailing address
4140 E BASELINE RD STE 101, MESA, AZ 85206-4413
(480) 233-9505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
8694
AZ
111NR0400X
Rehabilitation Chiropractor
Primary
8694
AZ
111NS0005X
Sports Physician Chiropractor
8694
AZ
Other
Enumeration date
05/01/2018
Last updated
05/26/2023
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