Individual
BART TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT(R)
Contact information
Practice address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3380
Mailing address
12033 AGENCY RD, PARKER, AZ 85344-7718
(928) 669-3380
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
423717
MN
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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