Individual provider · Type 1 NPI
Therdo Brooks Iii, CRT
Radiologic Technologist · Goodyear, AZ
NPI number
1124490693
Active
Practice location
14450 W Avalon Dr
Goodyear, AZ 85395-8315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiologic Technologist Primary | 247100000X | 18024 (AZ) |
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.
About NPI 1124490693
Therdo Brooks Iii, CRT's National Provider Identifier is 1124490693, issued on Oct 23, 2015. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Goodyear, AZ. The record was last updated on Oct 23, 2015.