NPI 1245295021

Russell L. Palmer Jr, R.T., B.S.

Organisation Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Prescott, AZ

Practice location

Address: 214 White Spar Rd, Prescott, AZ 86303-4236
Phone: (928) 777-9064
Fax: (928) 777-9183
Mailing address: 1045 Scott Dr, Prescott, AZ 86301-1731

Authorised official

Name: Russell Leon Palmer
Title: Owner
Phone: (928) 777-9064

Registered specialties

Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Primary

Suppliers Taxonomy 335V00000X Licence CRT-5873 (AZ)

Other Portable X-ray and/or Other Portable Diagnostic Imaging Supplier providers in Arizona →

Registry record

NPI: 1245295021
Entity type: Organization
NPI issued: 17 Apr 2006
Record last updated: 16 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.