Individual provider · Type 1 NPI

Brent Sissom, CRT

Radiologic Technologist · Puyallup, WA

NPI number 1730331240 Active

Practice location

1519 3rd St SE, Suite 103
Puyallup, WA 98372-3742

Call (253) 841-8939 Map

Specialties and licenses

TaxonomyCodeLicense
Radiologic Technologist Primary 247100000XRT00003985 (WA)

Radiologic Technologist: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

19 other providers at this address

About NPI 1730331240

Brent Sissom, CRT's National Provider Identifier is 1730331240, issued on Oct 15, 2008. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Puyallup, WA. The record was last updated on Oct 15, 2008.