Individual
MR. RANDY VERNON BROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 776-6112
Mailing address
500 N US HIGHWAY 89, PRESCOTT, AZ 86313-5001
(928) 776-6112
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
—
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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