Doctor Name: | RYAN CORPUZ |
NPI Number: | 1184071656 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RT(R)(ARRT) |
License Number: | 533372 |
Business Practice Address: | 1301 E Highway 3 Apt 250g Guymon, OK - 739425431 |
Business Phone Number: | 7076883221 |
Business Fax Number: | |
Mailing Address: | 1301 E Highway 3, Apt 250g GUYMON |
State: | OK |
Postal Code: | 739425431 |
Phone Number: | 7076883221 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2016 |
NPI Last Update Date: | 05/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 533372 |
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. |