Doctor Name: | DAMASO ENRIQUE MONTES RODRIGUEZ |
NPI Number: | 1255704151 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | T033994 |
Business Practice Address: | 8916 W Payson Rd Tolleson, AZ - 853535906 |
Business Phone Number: | 6023639228 |
Business Fax Number: | |
Mailing Address: | 8916 W Payson Rd, TOLLESON |
State: | AZ |
Postal Code: | 853535906 |
Phone Number: | 6023639228 |
Fax Number: | |
NPI Enumeration Date: | 11/02/2015 |
NPI Last Update Date: | 11/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247200000X |
License Number: | T033994 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | AZ |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Technician, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |