P.e.t. Scan Arizona LLC

NPI #1083616569 in Phoenix, Arizona

Provider Information

NPI Number
1083616569
Entity Type
Organization
Organization Name
P.e.t. Scan Arizona LLC
Primary Specialty
Clinic/Center - Radiology
Enumeration Date
Aug 15, 2005
Last Updated
Jul 21, 2022

Practice Location

Address
6036 N 19TH AVE
Address 2
SUITE 305
State
Arizona
ZIP Code
85015-2106
Phone
(602) 589-7226

Authorized Official

Name
MR. TERRY A. BROWN, MHA
Title
EXECUTIVE DIRECTOR
Phone
(602) 589-7226

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology

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