Doctor Name: | ELLIOT SEAN RINZLER |
NPI Number: | 1679776819 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 229279 |
Business Practice Address: | 101 Bodin Cir Travis Afb, CA - 945351809 |
Business Phone Number: | 7074235445 |
Business Fax Number: | |
Mailing Address: | Eastern Virginia Medical School, Po Box 1980, Dept Of Radiology NORFOLK |
State: | VA |
Postal Code: | 23507 |
Phone Number: | 7576881141 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2007 |
NPI Last Update Date: | 10/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 229279 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |