Provider Demographics
NPI:1023319142
Name:ARJON, RODOLFO
Entity type:Individual
Prefix:
First Name:RODOLFO
Middle Name:
Last Name:ARJON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11601 PELLICANO DR
Mailing Address - Street 2:SUITE B3
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6279
Mailing Address - Country:US
Mailing Address - Phone:915-595-8998
Mailing Address - Fax:915-595-6655
Practice Address - Street 1:11601 PELLICANO DR
Practice Address - Street 2:SUITE B3
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6279
Practice Address - Country:US
Practice Address - Phone:915-595-8998
Practice Address - Fax:915-595-6655
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-04
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies