Provider Demographics
NPI:1134279375
Name:RODARTE, CESAR M (DO)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:M
Last Name:RODARTE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:1343 N ALMA SCHOOL RD
Mailing Address - Street 2:STE 160
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-5901
Mailing Address - Country:US
Mailing Address - Phone:480-963-1853
Mailing Address - Fax:480-963-1854
Practice Address - Street 1:5520 E MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-8793
Practice Address - Country:US
Practice Address - Phone:480-832-1992
Practice Address - Fax:480-830-2402
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2019-12-02
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Provider Licenses
StateLicense IDTaxonomies
AZ1808207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine