Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT SISSOM, CRT
ActiveBRENT SISSOM, CRT is a Radiologic Technologist healthcare provider located in PUYALLUP, Washington. NPI 1730331240 is currently active in the NPPES registry. Verify at CMS.
Radiologic Technologist · PUYALLUP, WA
Registration Details
- NPI Number
- 1730331240
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2008 (17.794915875409 yrs)
- Last Updated
- Oct 15, 2008
- License
-
RT00003985 (WA)
Practice Information
- Address
-
1519 3RD ST SESUITE 103PUYALLUP, WA, 983723742Browse WA providers · Browse ZIP 98372
- Phone
- 2538418939
- Primary Specialty
-
Radiologic Technologist
247100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.