Doctor Name: | DR. TAMARA SUE HLAVATY |
NPI Number: | 1053344861 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 20038 |
Business Practice Address: | 601 W Leota St North Platte, NE - 691016525 |
Business Phone Number: | 3086476444 |
Business Fax Number: | 3086476433 |
Mailing Address: | Po Box 362, NORTH PLATTE |
State: | NE |
Postal Code: | 691030362 |
Phone Number: | 3086476444 |
Fax Number: | 3086476433 |
NPI Enumeration Date: | 07/08/2006 |
NPI Last Update Date: | 08/09/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 20038 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
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. |