Individual
MR. SAMUEL HAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T. (R)
Contact information
Practice address
4855 SE 10TH ST, TECUMSEH, KS 66542-9424
(785) 505-0106
Mailing address
4855 SE 10TH ST, TECUMSEH, KS 66542-9424
(785) 505-0106
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
439042
KS
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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