Individual
RODOLFO ARREOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5401 PEACH STREET, SUITE 3600, ERIE, PA 16509
(814) 868-2170
(814) 868-2108
Mailing address
ONE LECOM PLACE, ERIE, PA 16505-2571
(814) 868-2522
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD417031
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018811600004
—
PA
01
—
02495398
NY MEDICAL ASSISTANCE
NY
01
—
1068871
WEST VIRGINIA WORK COMP
WV
01
—
1320956
BLUE SHIELD
PA
01
—
1521644
GATEWAY
PA
01
—
2433763
OH MEDICAL ASSISTANCE
OH
01
—
304080
UPMC
PA
01
—
P00057889
RR MEDICARE
PA
Enumeration date
08/03/2005
Last updated
05/12/2023
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