Individual
MR. RUDOLPH MARTINEZ VERDUGO I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RESPIRATORY THERAPIS
Contact information
Practice address
CORNER OF ROUTE N12 &N7, FT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
Taxonomy
Speciality
Code
Description
License number
State
2278G1100X
General Care Certified Respiratory Therapist
Primary
001934
AZ
Other
Enumeration date
11/05/2014
Last updated
10/25/2019
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