# RUSSELL L. PALMER JR, R.T., B.S.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alliance Mobile X-ray
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245295021
- **Authorized official:** MR. RUSSELL LEON PALMER JR. R.T.,B.S. (OWNER)
- **Authorized official phone:** (928) 777-9064

## Contact information

- **Practice address:** 214 WHITE SPAR RD, PRESCOTT, AZ 86303-4236
- **Practice address phone:** (928) 777-9064
- **Practice address fax:** (928) 777-9183
- **Mailing address:** 1045 SCOTT DR, PRESCOTT, AZ 86301-1731
- **Mailing address phone:** (928) 777-9064
- **Mailing address fax:** (928) 777-9183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | CRT-5873 | AZ | Yes |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 06/16/2008