Doctor Name: | MRS. MARGARET MARY SASSE-WALLACE |
NPI Number: | 1629224282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RDMS |
License Number: | 267969 |
Business Practice Address: | 1942 Us Highway 20 Gordon, NE - 693435400 |
Business Phone Number: | 3082821599 |
Business Fax Number: | |
Mailing Address: | 1942 Us Highway 20, GORDON |
State: | NE |
Postal Code: | 693435400 |
Phone Number: | 3082821599 |
Fax Number: | |
NPI Enumeration Date: | 08/14/2008 |
NPI Last Update Date: | 08/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 267969 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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. |