Individual
DR. AMY TANNER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A104141
CA
208600000X
Surgery Physician
Primary
MD16080
HI
Other
Enumeration date
02/25/2010
Last updated
03/28/2012
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