NPI 1639880339

Carter Mayotte, RA

Practitioner Radiology Practitioner Assistant Council Bluffs, IA

Practice location

Address: 933 E Pierce St Attn: Radiology Dept, Council Bluffs, IA 51503-4652
Phone: (712) 396-6140
Fax: (712) 396-6227
Mailing address: 14301 Fnb Pkwy STE 100, Omaha, NE 68154-7200

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence RAD103746 (IA)

Other Radiology Practitioner Assistant providers in Iowa →

Registry record

NPI: 1639880339
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2022
Record last updated: 13 Dec 2022

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.