NPI 1003312877

Si Roaten, RTRCT

Practitioner Computed Tomography Radiologic Technologist Ball, LA

Practice location

Address: 115 Gayven Dr, Ball, LA 71405-4901
Phone: (731) 267-6911
Mailing address: 97 Sherwood Dr, Dry Prong, LA 71423-8755

Registered specialties

Computed Tomography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3401X Licence 12633 (LA)

Other Radiologic Technologist providers in Louisiana →

Registry record

NPI: 1003312877
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2018
Record last updated: 2 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.