Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 18812 | SC |
NPI | 1306822739 |
---|---|
Provider Name | Richard J Wunder |
First Address | Myrtle Beach, SC 29579-0018 |
Second Address | Conway, SC 29526-9142 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/12/2005 |
Last Update Date | 22/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G15125 | (02) | SC |