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Mr. FREDERICK J DAHL R.R.A. (ARRT)(R) RPA

Individual Provider (NPI-1) Active

Radiology Practitioner Assistant

Provider Information

NPI Number
1548291354
Provider Type
Individual Provider (NPI-1)
Credentials
R.R.A. (ARRT)(R) RPA
Status
Active

Contact & Location

Address
830 S GLOSTER ST, TUPELO, MS, 388014996
Phone
(662) 377-5232

Specialties & Taxonomies

Radiology Practitioner Assistant License: MA #09125
Radiologic Technologist, Vascular-Interventional Technology License: MA #09125
Radiology Practitioner Assistant Primary License: MS #RA00005

All Addresses

MAILING

111 JEAN JANE LN

TUPELO, MS, 388049113

(603) 661-5485

LOCATION

830 S GLOSTER ST

TUPELO, MS, 388014996

(662) 377-5232