THERDO BROOKS III


Address: 14450 W Avalon Dr, Goodyear, AZ 85395-8315
Phone: 6024664926

THERDO BROOKS III (NPI# 1124490693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124490693
Entity Type Individual
Full Name THERDO BROOKS III
Credential CRT
Practice Address 14450 W Avalon Dr
Goodyear
AZ 85395-8315
Practice Telephone 6024664926
Mailing Telephone 6024664926
Enumeration Date 2015-10-23
Last Update Date 2015-10-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 247100000X Radiologic Technologist 18024 AZ Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 14450 W AVALON DR
City GOODYEAR
State AZ
Zip Code 85395-8315

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154962439 Amber Dawn Gutierrez Registered Nurse 15430 W. Turney Avenue, Goodyear, AZ 85395 2019-10-08
1851947865 Az Care Partners Home Care, LLC Chore Provider 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 2019-08-15
1407334329 Hana M Eichele Occupational Therapist 13385 W Mcdowell Road, Goodyear, AZ 85395 2018-08-02
1639662406 Kristen Henderson Occupational Therapist 14577 W Indian School Road, Goodyear, AZ 85395 2018-06-07
1114419389 Eric Seabaugh Specialist/Technologist 13385 W. Mcdowell Rd., Goodyear, AZ 85395 2018-06-04
1912497504 Goodyear Modern Dentistry, LLP Dentist 15260 West Mcdowell Rd, Goodyear, AZ 85395 2018-05-18
1225531551 Erik Jason Martinez Registered Nurse 4565 N 153rd Ln, Goodyear, AZ 85395 2018-03-13
1538677042 Kacie Bartlett Speech-Language Pathologist 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 2018-01-18
1942717277 Deeann Guymon Specialist/Technologist 13385 W. Mcdowell Road, Goodyear, AZ 85395 2018-01-09
1023520228 Kathy Lynn Gorchesky Registered Nurse 15430 West Turney Avenue, Goodyear, AZ 85395 2017-10-27
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Taxonomy Information

Taxonomy Code 247100000X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist

Taxonomy Definition

An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1356974026 Scottsdale Healthcare Corp Radiologic Technologist 20745 N Scottsdale Rd Ste 100, Scottsdale, AZ 85255-6453 2020-02-20
1063953081 Karla Soward Radiologic Technologist 2015 N Rascon Loop, Phoenix, AZ 85037 2017-03-09
1710427422 Brad Elg Radiologic Technologist 641 E 25th Pl, Yuma, AZ 85365-2701 2017-02-28
1164961355 Kathleen Brown Radiologic Technologist 14226 Calabasas Road, Yucca, AZ 86438 2017-02-21
1497164388 Michael Maestas Radiologic Technologist 4291 N Campbell Ave, Tucson, AZ 85719 2014-08-05
1679991749 Heather Ann Lemons Radiologic Technologist 167 Noth Main Street, Tuba City, AZ 86045-0600 2014-04-04
1386926798 Ben S Stehower Radiologic Technologist 805 Whipple St Ste A, Prescott, AZ 86301-1617 2011-09-12
1851607675 Sheila Diane Andrea Radiologic Technologist 11405 N Crestview St., Flagstaff, AZ 86004-5215 2010-08-31
1871818492 Stacy Talahytewa II Radiologic Technologist Hwy 264 Mile Post 388, Polacca, AZ 86042 2010-04-07
1891010807 Marjorie Chinnock Radiologic Technologist M.p. 388 State Route 264, Polacca, AZ 86042-4000 2010-04-01
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Competitor

Search similar providers

City GOODYEAR
Zip Code 85395

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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