Individual
THERDO BROOKS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
14450 W AVALON DR, GOODYEAR, AZ 85395-8315
(602) 466-4926
Mailing address
14450 W AVALON DR, GOODYEAR, AZ 85395-8315
(602) 466-4926
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
18024
AZ
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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