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Individual

DR. LOUIS MICHAEL RADNOTHY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5210 N 19TH AVE, SUITE 121, PHOENIX, AZ 85015-2946
(928) 920-0782
(928) 328-3635
Mailing address
PO BOX 3147, YUMA PROVING GROUNDS, YUMA, AZ 85365-0903
(928) 920-0782
(928) 328-3635

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4480
AZ

Other

Enumeration date
10/25/2006
Last updated
09/25/2007
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