Provider Demographics
NPI:1730224890
Name:UNGER, MINDY P (RT(R))
Entity type:Individual
Prefix:MS
First Name:MINDY
Middle Name:P
Last Name:UNGER
Suffix:
Gender:F
Credentials:RT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:STEELTON
Mailing Address - State:PA
Mailing Address - Zip Code:17113-3035
Mailing Address - Country:US
Mailing Address - Phone:724-372-3540
Mailing Address - Fax:
Practice Address - Street 1:2350 S 5TH ST
Practice Address - Street 2:
Practice Address - City:STEELTON
Practice Address - State:PA
Practice Address - Zip Code:17113-3035
Practice Address - Country:US
Practice Address - Phone:724-372-3540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3769302471C3402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography