NPI 1265796940

Suzanne M Ward, RTRRDMSRVT

Practitioner Radiologic Technologist Fairfield, IL

Practice location

Address: 209 NW 11th St, Fairfield, IL 62837-1218
Phone: (618) 842-4470
Mailing address: PO Box 155, Christopher, IL 62822-0155

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X

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Registry record

NPI: 1265796940
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2012
Record last updated: 27 Jun 2012

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.