Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERDO BROOKS III, CRT
ActiveTHERDO BROOKS III, CRT is a Radiologic Technologist healthcare provider located in GOODYEAR, Arizona. NPI 1124490693 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · GOODYEAR, AZ
Registration Details
- NPI Number
- 1124490693
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 23, 2015 (10.765774730683 yrs)
- Last Updated
- Oct 23, 2015
- License
-
18024 (AZ)
Practice Information
- Address
-
14450 W AVALON DRGOODYEAR, AZ, 853958315Browse AZ providers · Browse ZIP 85395
- Phone
- 6024664926
- Primary Specialty
-
Radiologic Technologist
247100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.