Individual
LUIS ANGEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
223 CIBECUE CIRCLE, SAN CARLOS PHS INDIAN HOSPITAL, SAN CARLOS, AZ 85550-0208
(928) 475-7219
(928) 475-7370
Mailing address
223 CIBECUE CIRCLE RD., SAN CARLOS PHS INDIAN HOSPITAL, SAN CARLOS, AZ 85550-0208
(928) 475-7219
(928) 475-7370
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301071202
MI
Other
Enumeration date
04/22/2013
Last updated
11/18/2013
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