National Provider Identifier Database

THERDO BROOKS III, CRT – NPI #1124490693
Radiologic Technologist

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.


Contact Information

THERDO BROOKS III, CRT
14450 W AVALON DR
GOODYEAR, AZ85395-8315
Phone: 602-466-4926
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for THERDO BROOKS III

NPI Number 1124490693
Credentials CRT
Entity Individual
Enumeration date 10/23/2015
Last updated 10/23/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • AZ License #: 18024
Hospital affiliation n/a

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.

Reviews for THERDO BROOKS III, CRT

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