Doctor Name: | KATHERINE SUSAN GISSONNE |
NPI Number: | 1033494919 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RT |
License Number: | 127380 |
Business Practice Address: | 200 W Hospital Dr Sr 73 Whiteriver, AZ - 859410860 |
Business Phone Number: | 9283383771 |
Business Fax Number: | 9283383751 |
Mailing Address: | Po Box 860, 200 W Hospital Dr --sr 73 WHITERIVER |
State: | AZ |
Postal Code: | 859410860 |
Phone Number: | 9283383771 |
Fax Number: | 9283383751 |
NPI Enumeration Date: | 10/11/2011 |
NPI Last Update Date: | 10/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 127380 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |