Organization
PHOENIX ULTRASOUND STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE RODRIGUEZ (OWNER)
(480) 410-9971
Entity
Organization
Contact information
Practice address
5251 W CAMPBELL AVE STE 209, PHOENIX, AZ 85031-1719
(480) 410-9971
Mailing address
11002 W MONTE VISTA RD, AVONDALE, AZ 85392-5465
(480) 410-9971
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
11/07/2018
Last updated
11/07/2018
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