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Individual

RODNEY A ENGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
77 W FOREST AVE, SUITE 210, FLAGSTAFF, AZ 86001-1479
(928) 773-2547
(928) 773-2548
Mailing address
77 W FOREST AVE, SUITE 210, FLAGSTAFF, AZ 86001-1479
(928) 773-2547
(928) 773-2548

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36012
AZ
207RG0100X
Gastroenterology Physician
Primary
36012
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
340466
AZ
01
P00624786
RAILROAD MEDICARE
AZ
Enumeration date
01/19/2006
Last updated
11/19/2013
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