Organization · Type 2 NPI

Grand Canyon Medical Imaging LLC

Specialist · Kingman, AZ

NPI number 1629109095 Active

Practice location

3269 Stockton Hill Rd
Kingman, AZ 86401-3619

Call (928) 757-0620 Map

Mailing address

PO Box 73878
San Clemente, CA 92673-0130

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629109095

Grand Canyon Medical Imaging LLC's National Provider Identifier is 1629109095, issued on Mar 8, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kingman, AZ. The record was last updated on Jul 12, 2007.