MEDICARE: DANIEL D RODRIGUEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	35531	AZ

General Provider Information

NPI Number	:	1013071596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL D RODRIGUEZ M.D.

Provider Business Mailing Address
First Line	:	PO BOX 29211
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85038-9211
Country	:	US
Telephone Number	:	602-273-6770
Fax Number	:	602-889-0489

Provider Business Practice Location Address
First Line	:	8102 E MCDOWELL RD
Second Line	:	SUITE 2A
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85257-3809
Country	:	US
Telephone Number	:	480-421-1014
Fax Number	:	480-421-9697

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	12/07/2007

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