Individual
BRIAN KERMIT TWEDT
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
PO BOX 1859, PARKER, AZ 85344-1859
(707) 223-6698
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT-13971
AZ
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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