Individual
BRAD ELG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
641 E 25TH PL, YUMA, AZ 85365-2701
(928) 446-8352
Mailing address
641 E 25TH PL, YUMA, AZ 85365-2701
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
31051
AZ
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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