BRIAN SHUPLA

TUBA CITY, AZ
NPI1578778668
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2471C3402X Radiologic Technologist, Radiography
(Licence: AZ  crt - 11531)
Enumeration Date2007-05-11
Last Update Date2007-07-08
Business Address
-- BRIAN SHUPLA R.T. (R)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2702
Mailing Address
-- BRIAN SHUPLA R.T. (R)
167 NORTH MAIN STREET
TUBA CITY, AZ 86045
Phone number: 928-283-2702
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