Individual
GREGORY ABDULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
134 E MISTLETOE AVE, SAN ANTONIO, TX 78212-3407
(210) 223-1100
Mailing address
PO BOX 778, GANADO, AZ 86505-0778
(520) 604-7560
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
17913
AZ
2471C3401X
Computed Tomography Radiologic Technologist
Primary
31426
AZ
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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