Healthcare Provider Details

I. General information

NPI: 1538020631
Provider Name (Legal Business Name): ARIZONA ADVANCED DIGESTIVE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/22/2025
Certification Date: 11/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9305 W THOMAS RD STE 500
PHOENIX AZ
85037-3354
US

IV. Provider business mailing address

9305 W THOMAS RD STE 500
PHOENIX AZ
85037-3354
US

V. Phone/Fax

Practice location:
  • Phone: 623-232-8787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. HECTOR RODRIGUEZ
Title or Position: PARTNER
Credential: MD
Phone: 480-734-8737