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Mr. Rodolfo C Nellas, MD
Specialist in Glendale, Arizona
NPI 1609868611

Rodolfo C Nellas is a Specialist based in Glendale, AZ. Rodolfo C Nellas practices in Glendale, AZ and has the professional credentials of MD. The NPI Number for Rodolfo C Nellas is 1609868611 and holds a License No. 12395 (Arizona).

The current practice location address for Rodolfo C Nellas is 17505 N 79Th Ave Ste 201, Glendale, AZ and can be reached out via phone at 623-236-9295 and via fax at 623-236-8819.

Location: 17505 N 79Th Ave Ste 201, Glendale, AZ, 85308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609868611
Provider Name
Rodolfo C Nellas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17505 N 79Th Ave Ste 201, Glendale, AZ, 85308
Phone Number
623-236-9295
Fax Number
623-236-8819
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04304 01 AZ BLUE CROSS BLUE SHIELD-AZ
institution
Provider Business Practice Location Address Details
Address
17505 N 79Th Ave Ste 201
City
Glendale
State
Arizona
Zip
85308
Phone Number
623-236-9295
Fax Number
623-236-8819
person
Provider Business Mailing Address Details
Address
17505 N 79Th Ave Ste 201
City
Glendale
State
Arizona
Zip
85308
Phone Number
623-236-9295
Fax Number
623-236-8819
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12395 (Arizona)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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