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Individual

BRENT MATTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNMT

Contact information

Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-0001
(785) 350-3111
Mailing address
3630 SE 28TH ST, TOPEKA, KS 66605-1955

Taxonomy

Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
22-05097
KS

Other

Enumeration date
03/28/2023
Last updated
08/28/2023
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