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Michael Lee Longenecker
Sonography Radiologic Technologist in Parker, Arizona
NPI 1265587729

Michael Lee Longenecker is a Sonography Radiologic Technologist based in Flagstaff, AZ and is specialized in Sonography. Michael Lee Longenecker practices in Parker, AZ. The NPI Number for Michael Lee Longenecker is 1265587729 and holds a License No. 36777 (Arizona).

The current practice location address for Michael Lee Longenecker is 12033 Agency Rd, Parker, AZ and can be reached out via phone at 928-669-3380 and via fax at 928-669-3377.

Location: 12033 Agency Rd, Parker, AZ, 86001-1210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265587729
Provider Name
Michael Lee Longenecker
Credential
Provider Entity Type
Individual
Gender
Male
Address
12033 Agency Rd, Parker, AZ, 86001-1210
Phone Number
928-669-3380
Fax Number
928-669-3377
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12033 Agency Rd
City
Parker
State
Arizona
Zip
85344-7718
Phone Number
928-669-3380
Fax Number
928-669-3377
person
Provider Business Mailing Address Details
Address
12033 Agency Rd
City
Parker
State
Arizona
Zip
85344-7718
Phone Number
928-669-3380
Fax Number
928-669-3377
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Sonography
Taxonomy
2471S1302X
License No.
36777 ()
Definition
Definition to come...
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