Individual
JOHN H MABRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5322 W NORTHERN AVE, SOUTHWEST DIAGNOSTIC IMAGING LTD, GLENDALE, AZ 85301-1405
(480) 425-5063
(623) 915-6924
Mailing address
5322 W NORTHERN AVE, SOUTHWEST DIAGNOSTIC IMAGING LTD, GLENDALE, AZ 85301-1405
(480) 425-5063
(623) 915-6924
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9510
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211912
—
AZ
01
—
30WCFHS07
VRL
AZ
Enumeration date
10/20/2005
Last updated
07/09/2007
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