Doctor Name: | MARYANNE L COLBURN |
NPI Number: | 1831353895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.T. |
License Number: | 1951 |
Business Practice Address: | 721 Park Ridge Dr River Ridge, LA - 701231182 |
Business Phone Number: | 5047385273 |
Business Fax Number: | |
Mailing Address: | 721 Park Ridge Dr, RIVER RIDGE |
State: | LA |
Postal Code: | 70123 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/17/2008 |
NPI Last Update Date: | 07/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 1951 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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. |