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Contact Information

RUDOLFO B CAMPOS
114 MCCORMICK CANYON
CLIFTON, AZ85533
 Phone: 928-865-3109
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Respite Care, Mental Illness, Child

385HR2055X
Indicates primary specialty

NPI Profile & details for RUDOLFO B CAMPOS · (Male)

NPI Number 1669540555
Status Active
Credentials
Entity Individual
Enumeration date 12/01/2006
Last updated 07/25/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ Medicaid 758287
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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