Russell L. Palmer Jr, R.t., B.s.

NPI #1245295021 in Prescott, Arizona

Provider Information

NPI Number: 1245295021
Entity Type: Organization
Organization Name: Russell L. Palmer Jr, R.t., B.s.
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Apr 17, 2006
Last Updated: Jun 16, 2008

Practice Location

Address: 214 WHITE SPAR RD
City: Prescott
State: Arizona
ZIP Code: 86303-4236
Phone: (928) 777-9064

Authorized Official

Name: MR. RUSSELL LEON PALMER JR., R.T.,B.S.
Title: OWNER
Phone: (928) 777-9064

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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