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Jack H Avery, RT(R)(MRI)(QM)(CT)
Radiologic Technologist in Helena, Montana
NPI 1962586370

Jack H Avery is a Radiologic Technologist based in Helena, MT. Jack H Avery practices in Helena, MT and has the professional credentials of RT(R)(MRI)(QM)(CT). The NPI Number for Jack H Avery is 1962586370 and holds a License No. 1019 (Montana).

The current practice location address for Jack H Avery is 3510 Ptarmigan Ln, Helena, MT and can be reached out via phone at 406-449-3750 and via fax at 406-449-3752.

Location: 3510 Ptarmigan Ln, Helena, MT, 59604-5179
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962586370
Provider Name
Jack H Avery
Credential
RT(R)(MRI)(QM)(CT)
Provider Entity Type
Individual
Gender
Male
Address
3510 Ptarmigan Ln, Helena, MT, 59604-5179
Phone Number
406-449-3750
Fax Number
406-449-3752
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0760123 05 MT
institution
Provider Business Practice Location Address Details
Address
3510 Ptarmigan Ln
City
Helena
State
Montana
Zip
59602-0553
Phone Number
406-449-3750
Fax Number
406-449-3752
person
Provider Business Mailing Address Details
Address
3510 Ptarmigan Ln
City
Helena
State
Montana
Zip
59602-0553
Phone Number
406-449-3750
Fax Number
406-449-3752
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
-
Taxonomy
247100000X
License No.
1019 (Montana)
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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