Organization
TRANSRAY OF ARIZONA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA CONSTANT (VICE PRESIDENT)
(505) 883-0475
Entity
Organization
Contact information
Practice address
930 N MESA DR, #1056, MESA, AZ 85201-4321
(505) 883-0475
(505) 883-0475
Mailing address
PO BOX 848208, DALLAS, TX 75284-8208
(505) 768-7374
(505) 768-7374
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
847832
—
AZ
Enumeration date
06/25/2006
Last updated
11/23/2010
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