Rodriguez, Marlene

Rodriguez, Marlene is an individual health care provider with primary practice located at 5301 E Grant Rd , Tucson AZ 85712-2805. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rodriguez, Marlene can be contacted via phone (520) 319-0727.

Contact Information

Primary practice address
5301 E Grant Rd Tucson AZ 85712-2805
Fax: (520) 319-0752
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A84528 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42628 Arizona

Profile Details

NPI number 1629178975
LBN Legal business name Rodriguez, Marlene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 18th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629178975 NPPES
California Other HAP71021F FPACT
California Other ZZZ29799Z FPACT
California MEDICAID FHC71021F FPACT
California Other 55-1975 FPACT

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