Provider Demographics
NPI:1891947818
Name:SANCHEZ, RODERICK JOHN C (NP)
Entity Type:Individual
Prefix:MR
First Name:RODERICK JOHN
Middle Name:C
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3320 N 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-4304
Mailing Address - Country:US
Mailing Address - Phone:480-588-3165
Mailing Address - Fax:480-588-3169
Practice Address - Street 1:3320 N 3RD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85013-4304
Practice Address - Country:US
Practice Address - Phone:480-588-3165
Practice Address - Fax:480-588-3169
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP3185363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health