IndividualActive
Michael Longenecker
NPI 1265587729 · Sonography Radiologic Technologist · Parker, AZ
Provider details
- NPI number
- 1265587729
- Entity type
- Individual
- Primary specialty
- Sonography Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36777
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
12033 Agency Rd
Parker, AZ 85344-7718
Phone: (928) 669-3380
Fax: (928) 669-3377
Approximate (ZIP-level) locationGet directions
Mailing address
833 W Meade Ln
Flagstaff, AZ 86001-1210
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.