Individual
GASTON RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13995 W STATLER BLVD STE 200, SURPRISE, AZ 85374-5503
(602) 478-3100
Mailing address
13995 W STATLER BLVD STE UNIT200, SURPRISE, AZ 85374-5501
(602) 478-3100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R82421
AZ
Other
Enumeration date
04/30/2026
Last updated
05/08/2026
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