Whalio Doctors

NPI 1043588833

Johnathan Seamus Waters, RTRCT

Practitioner Computed Tomography Radiologic Technologist Pueblo, CO

Practice location

Address
2223 Daniel Road, Pueblo, CO 81006
Phone
(360) 850-2739
Mailing address
P.O. Box 432, Seligman, AZ 86337

Registered specialties (3)

Computed Tomography Radiologic Technologist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3401X Licence RHF64081 (CA)
Computed Tomography Radiologic Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3401X Licence CRT-12657 (AZ)
Computed Tomography Radiologic Technologist
Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3401X Licence RT60090679 (WA)

Registry record

NPI
1043588833
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Dec 2011
Record last updated
7 Dec 2011

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.