Doctor Name: | MRS. JULIE GALE TEEL |
NPI Number: | 1790994044 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.T. |
License Number: | RT001589 |
Business Practice Address: | 100 Indian Hills Dr Macy, NE - 68039 |
Business Phone Number: | 4028375381 |
Business Fax Number: | |
Mailing Address: | Box 250, MACY |
State: | NE |
Postal Code: | 68039 |
Phone Number: | 4028375381 |
Fax Number: | |
NPI Enumeration Date: | 05/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3402X |
License Number: | RT001589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Radiography |
Taxonomy Definition: |