Michael Notbohm
Radiologic Technologist, Computed Tomography in Tampa, FL. Individual provider (NPI-1).
NPI number1063882595
StatusActive
Last updated in NPPESSep 27, 2015
Details
- NPI
- 1063882595
- Entity type
- Individual (NPI-1)
- Name
- Michael Notbohm
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2015
- Last updated
- Sep 27, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471C3401X | Radiologic Technologist, Computed Tomography | – | – | Yes |
Practice location
6012 Yeats Manor DrUnit 102
Tampa, FL 33616-1444
Phone 813-540-6733
Mailing address
Po Box 173103Tampa, FL 33672-1103
Phone 813-540-6733
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