Brogdon, Randy Vernon

Brogdon, Randy Vernon is an individual health care provider with primary practice located at 500 N Us Highway 89 , Prescott AZ 86313-5001. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist, which is considered as his primary health care specialty. Brogdon, Randy Vernon can be contacted via phone (928) 776-6112.

Contact Information

Primary practice address
500 N Us Highway 89 Prescott AZ 86313-5001
Phone: (928) 776-6112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Radiologic Technologist 247100000X

Profile Details

NPI number 1952717761
LBN Legal business name Brogdon, Randy Vernon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2014
Last updated Jul 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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