CARTER MAYOTTE RA
Individual Provider (NPI-1)
Active
Radiology Practitioner Assistant
Provider Information
- NPI Number
1639880339- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RA
- Status
- Active
Contact & Location
- Address
- 933 E PIERCE ST ATTN: RADIOLOGY DEPT, COUNCIL BLUFFS, IA, 515034652
- Phone
- (712) 396-6140
- Fax
- (712) 396-6227
Specialties & Taxonomies
Radiology Practitioner Assistant
Primary License: IA #RAD103746