National Provider Identifier Database

RANDY V BROGDON
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

RANDY V BROGDON
500 N US HIGHWAY 89
PRESCOTT, AZ86313-5001
Phone: 928-776-6112
Fax:
Website:
Specialty Taxonomy Code
* Radiologic Technologist 247100000X

* Indicates primary specialty

NPI Profile & details for RANDY V BROGDON

NPI Number 1952717761
Credentials
Entity Individual
Enumeration date 07/02/2014
Last updated 07/02/2014 - About 12 years ago
Sole proprietor1 No
Identifiers n/a
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.

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