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NPI Code Detail

MEDICARE: HALEY LEE RODRIGUEZ PA-C, CCSH

MEDICARE: HALEY LEE RODRIGUEZ PA-C, CCSH
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
1207RS0012XSleep Medicine (Internal Medicine) Physician8914AZ
2363A00000XPhysician Assistant8914AZ
3363A00000XPhysician Assistant

General Provider Information

NPI Number : 1780342147
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY LEE RODRIGUEZ PA-C, CCSH
Provider Business Mailing Address
First Line : 19716 W MULBERRY DR
Second Line :
City : BUCKEYE
State : AZ
Zip : 85396-5484
Country : US
Telephone Number : 480-215-8480
Fax Number :
Provider Business Practice Location Address
First Line : 7330 N 99TH AVE STE 325
Second Line :
City : GLENDALE
State : AZ
Zip : 85307-3022
Country : US
Telephone Number : 602-633-6070
Fax Number : 602-633-6079
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2021
Last Update Date : 02/03/2026

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Directions to “ HALEY LEE RODRIGUEZ PA-C, CCSH” Practice Location

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