Individual
DR. JORGE ARZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 320, FORT WAYNE, IN 46845-1714
(260) 425-5400
Mailing address
3737 SOUTHERN BLVD STE 4200, KETTERING, OH 45429-0135
(937) 294-1489
(937) 297-6468
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
01053421A
IN
208800000X
Urology Physician
Primary
01053421A
IN
208800000X
Urology Physician
35121647
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0087483
—
OH
Enumeration date
07/20/2006
Last updated
01/27/2021
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