NPI 1124490693
Therdo Brooks, CRT
Practice location
- Address
- 14450 W Avalon Dr, Goodyear, AZ 85395-8315
- Phone
- (602) 466-4926
Registered specialties
Radiologic Technologist
Primary
Registry record
- NPI
- 1124490693
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Oct 2015
- Record last updated
- 23 Oct 2015
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.