Individual provider · NPI-1

Megan Marie Green, rdms rvt

Radiologic Technologist, Sonography · Tampa, FL

NPI number1740576412
StatusActive
Last updated in NPPESJun 21, 2011

Details

NPI
1740576412
Entity type
Individual (NPI-1)
Name
Mrs. Megan Marie Green
Credential
rdms rvt
Sex
Female
Sole proprietor
No
Enumeration date
Jun 21, 2011
Last updated
Jun 21, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471S1302X Radiologic Technologist, Sonography117328FLYes
2471V0105X Radiologic Technologist, Vascular Sonography117328FL

Practice location

2106 Carroll Gardens Ln
Tampa, FL 33612-5012

Phone 813-731-7472

Mailing address

2106 Carroll Gardens Ln
Tampa, FL 33612-5012

Phone 813-731-7472

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