NPI 1942790118

Mary Beth Simon

Practitioner Radiologic Technologist Ogema, MN

Practice location

Address: 40520 Cty Hwy 34, Ogema, MN 56569
Phone: (218) 983-6389
Mailing address: 40520 Cty Hwy 34, Ogema, MN 56569-9612

Registered specialties (3)

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 467987 (MN)

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Registry record

NPI: 1942790118
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2018
Record last updated: 14 May 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.