Individual
RODOLFO B PENAFLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4730 E GRANT RD, TUCSON, AZ 85712-2703
(520) 290-0300
(520) 298-9230
Mailing address
4730 E GRANT RD, TUCSON, AZ 85712-2703
(520) 290-0300
(520) 298-9230
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
26756
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110203343
RR MEDICARE
—
01
—
1Z7532
HEALTHNET
—
01
—
860780125
CIGNA
—
01
—
AZ0866370
BLUE CROSS BLUE SHIELD
—
01
—
AZ860780125
UNITED HEALTHCARE
—
Enumeration date
12/01/2005
Last updated
08/18/2022
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