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Brent Sissom, CRT
Radiologic Technologist in Puyallup, Washington
NPI 1730331240

Brent Sissom is a Radiologic Technologist based in Puyallup, WA. Brent Sissom practices in Puyallup, WA and has the professional credentials of CRT. The NPI Number for Brent Sissom is 1730331240 and holds a License No. RT00003985 (Washington).

The current practice location address for Brent Sissom is 1519 3Rd St Se, Puyallup, WA and can be reached out via phone at 253-841-8939. You can also correspond with Brent Sissom through the mailing address at 1519 3RD ST SE, PUYALLUP, WA - 98372-3742 (mailing address contact number: 253-841-8939).

Location: 1519 3Rd St Se, Puyallup, WA, 98372-3742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730331240
Provider Name
Brent Sissom
Credential
CRT
Provider Entity Type
Individual
Gender
Male
Address
1519 3Rd St Se, Puyallup, WA, 98372-3742
Phone Number
253-841-8939
Fax Number
Provider Enumeration Date
10/15/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1519 3Rd St Se
City
Puyallup
State
Washington
Zip
98372-3742
Phone Number
253-841-8939
Fax Number
person
Provider Business Mailing Address Details
Address
1519 3Rd St Se
City
Puyallup
State
Washington
Zip
98372-3742
Phone Number
253-841-8939
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
RT00003985 (Washington)
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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