NPI 1053855296

Derek Medeiros, RTRRARPA

Practitioner Radiology Practitioner Assistant Charlotte, NC

Practice location

Address: 6836 Morrison Blvd STE 101, Charlotte, NC 28211-2612
Phone: (704) 817-0821
Fax: (704) 817-0835
Mailing address: 6836 Morrison Blvd Suite 101, Charlotte, NC 28211-2612

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 15MA1496 (MA)

Other Radiology Practitioner Assistant providers in North Carolina →

Registry record

NPI: 1053855296
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Dec 2016
Record last updated: 7 Dec 2016

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.