Doctor Name: | JON R STENBERG |
NPI Number: | 1033176102 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 3468 |
Business Practice Address: | 2929 5th St Suite 100 Rapid City, SD - 577017363 |
Business Phone Number: | 6053422852 |
Business Fax Number: | 6053423930 |
Mailing Address: | 403 N Berry Pine Rd, RAPID CITY |
State: | SD |
Postal Code: | 577021856 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 3468 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |