Doctor Name: | FAITH BENNIGAN HAMILTON |
NPI Number: | 1356780654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BS, RDMS, RVT, ARRT |
License Number: | GN-1523-10 |
Business Practice Address: | 755 Wood St Lander, WY - 825202155 |
Business Phone Number: | 3074389844 |
Business Fax Number: | |
Mailing Address: | Po Box 1827, LANDER |
State: | WY |
Postal Code: | 825201827 |
Phone Number: | 3074389844 |
Fax Number: | |
NPI Enumeration Date: | 06/19/2013 |
NPI Last Update Date: | 02/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471V0105X |
License Number: | GN-1523-10 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WY |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Vascular Sonography |
Taxonomy Definition: |