Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel E Cordivin, RT

Individual provider Radiography Radiologic Technologist · NPI 1770888281

Samuel E Cordivin, RT is a Radiography Radiologic Technologist in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2011.

Licensed in
AZ
In the registry since
2011
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Practice location Address checks out

3480 E Route 66
Flagstaff, AZ 86004-4032
Phone: (928) 863-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiography Radiologic Technologist (primary) Taxonomy 2471C3402X · Licence 15727 (AZ)

Record details

NPI number1770888281
Entity typeIndividual (Type 1)
GenderMale
Credentials RT
Sole proprietorNo
NPI enumeratedJanuary 13, 2011
Last updated in NPPESJanuary 13, 2011
Mailing address3860 E Sioux Dr, 11a, Flagstaff, AZ 86001-6668

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