Individual
DEREK S ENZS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RVT
Contact information
Practice address
716 W EMERSON ST, PARAGOULD, AR 72450-5924
(870) 476-7101
Mailing address
716 W EMERSON ST, PARAGOULD, AR 72450-5924
(870) 476-7101
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
313069
KS
2471S1302X
Sonography Radiologic Technologist
Primary
96074
KS
Other
Enumeration date
05/29/2011
Last updated
05/29/2011
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