Individual
JULIO A RODRIGUEZ-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 W THOMAS RD, PHOENIX, AZ 85013-4417
(602) 374-4101
(602) 441-0522
Mailing address
9192 W UNION HILLS DR, PEORIA, AZ 85382-8208
(602) 374-4101
(602) 441-0522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
20910
AZ
2086S0129X
Vascular Surgery Physician
Primary
20910
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115180
—
AZ
Enumeration date
08/02/2005
Last updated
02/14/2025
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