Individual provider · Type 1 NPI
Rodolfo C. Nellas, MD
Specialist · Glendale, AZ
NPI number
1609868611
Active
Practice location
17505 N 79th Ave Ste 201
Glendale, AZ 85308
Fax (623) 236-8819
Other practice locations
- 18301 N. 79th Ave, F170, Glendale, AZ 85308 · (623) 236-9295
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 12395 (AZ) |
Specialist: 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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About NPI 1609868611
Rodolfo C. Nellas, MD's National Provider Identifier is 1609868611, issued on Aug 16, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Glendale, AZ. The record was last updated on Oct 18, 2017.