Individual
BRYN MARI RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9759 W. SKYE CANYON PARK DR., SUITE 160-287, LAS VEGAS, NV 89166
(702) 680-5159
Mailing address
9750 W SKYE CANYON PARK DR STE 160-287, LAS VEGAS, NV 89166-6623
(702) 350-1463
(702) 470-1815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14006
NV
207R00000X
Internal Medicine Physician
A105177
CA
208000000X
Pediatrics Physician
14006
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780838961
—
NV
Enumeration date
11/13/2008
Last updated
03/21/2024
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