Individual
SHAY THOMAS IOERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
7524 ANDERSON ST, SHAWNEE, KS 66227-2631
(785) 458-9239
Taxonomy
Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
22-04129
KS
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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