Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRAD ELG
Active Sole ProprietorBRAD ELG is a Radiologic Technologist healthcare provider located in YUMA, Arizona. NPI 1710427422 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · YUMA, AZ
Registration Details
- NPI Number
- 1710427422
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2017 (9.4828399773415 yrs)
- Last Updated
- Feb 28, 2017
- License
-
31051 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
641 E 25TH PLYUMA, AZ, 853652701Browse AZ providers · Browse ZIP 85365
- Phone
- 9284468352
- 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.