Individual
MR. FRANK MAMOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDMS
Contact information
Practice address
209 E ROSE LN, PHOENIX, AZ 85012-1242
(602) 265-3199
(602) 419-2988
Mailing address
19260 N 78TH LN, GLENDALE, AZ 85308-6129
(602) 717-0772
(602) 419-2988
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
405273
AZ
2471S1302X
Sonography Radiologic Technologist
Primary
129242
AZ
Other
Enumeration date
11/19/2013
Last updated
08/19/2014
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