Individual provider · NPI-1

Bradley Brask, R

Radiologic Technologist · Phoenix, AZ

NPI number1407053804
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1407053804
Entity type
Individual (NPI-1)
Name
Bradley Brask
Credential
R
Sex
Male
Sole proprietor
No
Enumeration date
Jun 29, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247100000X Radiologic Technologist––Yes

Practice location

2 N Central Ave
Suite 170-284
Phoenix, AZ 85004-2322

Phone 307-690-0420

Mailing address

2 N Central Ave
Suite 170-284
Phoenix, AZ 85004-2322

Phone 307-690-0420

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Radiologic Technologist providers in Phoenix, AZ