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Si Roaten, RT(R)(CT)
Computed Tomography Radiologic Technologist in Ball, Louisiana
NPI 1003312877

Si Roaten is a Computed Tomography Radiologic Technologist based in Dry Prong, LA and is specialized in Computed Tomography. Si Roaten practices in Ball, LA and has the professional credentials of RT(R)(CT). The NPI Number for Si Roaten is 1003312877 and holds a License No. 12633 (Louisiana).

The current practice location address for Si Roaten is 115 Gayven Dr, Ball, LA and can be reached out via phone at 731-267-6911.

Location: 115 Gayven Dr, Ball, LA, 71423-8755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003312877
Provider Name
Si Roaten
Credential
RT(R)(CT)
Provider Entity Type
Individual
Gender
Male
Address
115 Gayven Dr, Ball, LA, 71423-8755
Phone Number
731-267-6911
Fax Number
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
115 Gayven Dr
City
Ball
State
Louisiana
Zip
71405-4901
Phone Number
731-267-6911
Fax Number
person
Provider Business Mailing Address Details
Address
115 Gayven Dr
City
Ball
State
Louisiana
Zip
71405-4901
Phone Number
731-267-6911
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Computed Tomography
Taxonomy
2471C3401X
License No.
12633 (Louisiana)
Definition
Definition to come...
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