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Search › Arizona › 111NR0400X

Samuel Rodriguez

NPI 1639667009 · on the registry since 2018 · sole proprietor

Practice

Address
4140 E Baseline Rd Ste 101
Mesa, AZ 85206
Phone
(480) 233-9505
Organisation at this address
Gbs Llc
Relatyv Llc
Virtualmed Pllc
Vital4men, Pllc
Edgeline Audiology Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
111NR0400X
111NR0400X
Also registered as
111N00000X
111NS0005X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona