Individual
MR. CECIL A STEWART III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045
(928) 283-2501
Mailing address
PO BOX 2851, TUBA CITY, AZ 86045-2851
(928) 225-5961
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
14451
AZ
Other
Enumeration date
09/01/2010
Last updated
09/01/2010
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