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Contact Information

THERDO BROOKS III, CRT
14450 W AVALON DR
GOODYEAR, AZ85395-8315
 Phone: 602-466-4926
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for THERDO BROOKS III · (Male)

NPI # 1124490693
Status Active
Credentials CRT
Entity Individual
Enumeration date 10/23/2015
Last updated 10/23/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 18024
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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