Doctor Name: | JENNIFER LYNN JORDT ROBERTS |
NPI Number: | 1235313818 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1777 108th St Marengo, IA - 523018726 |
Business Phone Number: | 3193611468 |
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Mailing Address: | 1777 108th St, MARENGO |
State: | IA |
Postal Code: | 523018726 |
Phone Number: | 3193611468 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2007 |
NPI Last Update Date: | 12/19/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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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. |