person
Brian Shupla, RT(R)
Radiography Radiologic Technologist in Tuba City, Arizona
NPI 1578778668

Brian Shupla is a Radiography Radiologic Technologist based in Tuba City, AZ and is specialized in Radiography. Brian Shupla practices in Tuba City, AZ and has the professional credentials of RT(R). The NPI Number for Brian Shupla is 1578778668 and holds a License No. CRT - 11531 (Arizona).

The current practice location address for Brian Shupla is 167 North Main Street, Tuba City, AZ and can be reached out via phone at 928-283-2702.

Location: 167 North Main Street, Tuba City, AZ, 86045
person
Provider Profile Details
NPI Number
1578778668
Provider Name
Brian Shupla
Credential
RT(R)
Provider Entity Type
Individual
Gender
Male
Address
167 North Main Street, Tuba City, AZ, 86045
Phone Number
928-283-2702
Fax Number
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
167 North Main Street
City
State
Zip
86045
Phone Number
928-283-2702
Fax Number
person
Provider Business Mailing Address Details
Address
167 North Main Street
City
State
Zip
86045
Phone Number
928-283-2702
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
CRT - 11531 (Arizona)
Definition
Definition to come...
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