NPI 1265587729

Michael Lee Longenecker

Practitioner Sonography Radiologic Technologist Parker, AZ

Practice location

Address: 12033 Agency Rd, Parker, AZ 85344-7718
Phone: (928) 669-3380
Fax: (928) 669-3377
Mailing address: 833 W Meade Ln, Flagstaff, AZ 86001-1210

Registered specialties

Sonography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471S1302X Licence 36777

Other Radiologic Technologist providers in Arizona →

Registry record

NPI: 1265587729
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2007
Record last updated: 8 Jul 2007

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.