Individual
MARJORIE CHINNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARRT
Contact information
Practice address
M.P. 388 STATE ROUTE 264, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6069
Mailing address
PO BOX 4000, POLACCA, AZ 86042-4000
(928) 737-6000
(928) 737-6069
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
CRT - 12784
AZ
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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