Doctor Name: | MISS BRENDA LEE HENRY |
NPI Number: | 1881996460 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.T (R) |
License Number: | 2836 |
Business Practice Address: | 107 H. St Verne.e Gibbs Health Center Poplar, MT - 59255 |
Business Phone Number: | 4067683491 |
Business Fax Number: | |
Mailing Address: | 428 Edgar St, WOLF POINT |
State: | MT |
Postal Code: | 592011726 |
Phone Number: | 4066532708 |
Fax Number: | |
NPI Enumeration Date: | 12/02/2010 |
NPI Last Update Date: | 12/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 247100000X |
License Number: | 2836 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
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. |