| Doctor Name: | MARJORIE CHINNOCK |
| NPI Number: | 1891010807 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARRT |
| License Number: | CRT - 12784 |
| Business Practice Address: | M.p. 388 State Route 264 Polacca, AZ - 860424000 |
| Business Phone Number: | 9287376000 |
| Business Fax Number: | 9287376069 |
| Mailing Address: | Po Box 4000, POLACCA |
| State: | AZ |
| Postal Code: | 860424000 |
| Phone Number: | 9287376000 |
| Fax Number: | 9287376069 |
| NPI Enumeration Date: | 04/01/2010 |
| NPI Last Update Date: | 04/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 247100000X |
| License Number: | CRT - 12784 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |