MR. RUSSELL LEON PALMER RT BS NPI 1851552459

NPI Information

NPI: 1851552459
Provider Name: MR. RUSSELL LEON PALMER, RT, BS
Classification: Radiologic Technologist - 247100000X
Entity Type: Individual
Address:
214 WHITE SPAR RD
PRESCOTT, AZ
ZIP 86303
Phone: (928) 777-9064
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MR. Russell Leon Palmer, RT, BS is a radiologic technologist in Prescott, AZ. The provider is 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. MR. Russell Leon Palmer, RT, BS NPI is 1851552459. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

214 WHITE SPAR RD
PRESCOTT, AZ
ZIP 86303-236
Phone: (928) 777-9064
Fax: (928) 777-9183

The enumeration date for this NPI number is 6/17/2008 and was last updated on 6/18/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	247100000X	Radiologic Technologist		CRT-5873	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z71261	MEDICARE PIN	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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