Provider Demographics
NPI:1235364753
Name:INCLAN, JOSE L (RDMS)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:L
Last Name:INCLAN
Suffix:
Gender:M
Credentials:RDMS
Other - Prefix:
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Mailing Address - Street 1:2911 S 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8000
Mailing Address - Country:US
Mailing Address - Phone:928-783-3050
Mailing Address - Fax:928-783-7783
Practice Address - Street 1:2911 S 8TH AVENUE
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8000
Practice Address - Country:US
Practice Address - Phone:928-783-3050
Practice Address - Fax:928-783-7783
Is Sole Proprietor?:No
Enumeration Date:2009-05-28
Last Update Date:2009-05-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography