Individual
RAUL J RODRIGUEZ-SORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2075 S COTTONWOOD DR, TEMPE, AZ 85282-3040
(480) 718-0568
(520) 290-4881
Mailing address
3930 N 30TH AVE, PHOENIX, AZ 85017-4607
(623) 322-6143
(520) 290-4881
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
21047
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116005
—
AZ
Enumeration date
09/23/2006
Last updated
04/25/2023
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