Individual
MS. INGEBORG J. WALSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMT, NCT, RT(N)(CT)
Contact information
Practice address
2360 E PERSHING BLVD, VA MEDICAL CENTER, ATTN: NUC MED, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
2360 E PERSHING BLVD, VA MEDICAL CENTER, ATTN: NUC MED, CHEYENNE, WY 82001-5356
(307) 778-7550
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
7403884-5401
UT
Other
Enumeration date
03/01/2012
Last updated
05/07/2012
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