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NPI Code Detail

MEDICARE: MRS. WENDY SUZANNE HARRAH RPA/RA, RT (R) (CT)

MEDICARE: MRS. WENDY SUZANNE HARRAH RPA/RA, RT (R) (CT)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1243U00000XRadiology Practitioner Assistant

General Provider Information

NPI Number : 1255664603
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDY SUZANNE HARRAH RPA/RA, RT (R) (CT)
Provider Business Mailing Address
First Line : 430 MAIN ST W
Second Line : RADIOLOGY DEPARTMENT
City : OAK HILL
State : WV
Zip : 25901-3414
Country : US
Telephone Number : 304-469-8600
Fax Number : 304-929-2470
Provider Business Practice Location Address
First Line : 430 MAIN ST W
Second Line : RADIOLOGY DEPARTMENT
City : OAK HILL
State : WV
Zip : 25901-3414
Country : US
Telephone Number : 304-469-8600
Fax Number : 304-929-2470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2009
Last Update Date : 09/16/2009

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Directions to “ MRS. WENDY SUZANNE HARRAH RPA/RA, RT (R) (CT)” Practice Location

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