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Dr. Peter Spellman Halt, MD
Radiologic Technologist in Mount Shasta, California
NPI 1396740338

Peter Spellman Halt is a Radiologic Technologist based in Yreka, CA. Peter Spellman Halt practices in Mount Shasta, CA and has the professional credentials of MD. The NPI Number for Peter Spellman Halt is 1396740338 and holds a License No. A76207 (California).

The current practice location address for Peter Spellman Halt is 914 Pine St, Mount Shasta, CA and can be reached out via phone at 530-926-9329 and via fax at 530-926-9855.

Location: 914 Pine St, Mount Shasta, CA, 96097-1086
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Provider Profile Details
NPI Number
1396740338
Provider Name
Peter Spellman Halt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
914 Pine St, Mount Shasta, CA, 96097-1086
Phone Number
530-926-9329
Fax Number
530-926-9855
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A762070 05 CA
institution
Provider Business Practice Location Address Details
Address
914 Pine St
City
State
Zip
96067-2143
Phone Number
530-926-9329
Fax Number
530-926-9855
person
Provider Business Mailing Address Details
Address
914 Pine St
City
State
Zip
96067-2143
Phone Number
530-926-9329
Fax Number
530-926-9855
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
License No.
A76207 (California)
Definition
An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment.
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