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Contact Information

SAMUEL E CORDIVIN, R.T.
3480 E ROUTE 66
FLAGSTAFF, AZ86004-4032
 Phone: 928-863-7333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for SAMUEL E CORDIVIN · (Male)

NPI Number 1770888281
Status Active
Credentials R.T.
Entity Individual
Enumeration date 01/13/2011
Last updated 01/13/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 15727
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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