Doctor Name: | JAMES MUNN |
NPI Number: | 1023215241 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 700 Chief Eddie Hoffman Hwy Bethel, AK - 99559 |
Business Phone Number: | 9075436000 |
Business Fax Number: | |
Mailing Address: | Po Box 2821, BETHEL |
State: | AK |
Postal Code: | 995592821 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3402X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Radiography |
Taxonomy Definition: |