Provider Demographics
NPI:1255664603
Name:HARRAH, WENDY SUZANNE (RPA/RA, RT (R) (CT))
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:SUZANNE
Last Name:HARRAH
Suffix:
Gender:F
Credentials:RPA/RA, RT (R) (CT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:430 MAIN ST W
Mailing Address - Street 2:RADIOLOGY DEPARTMENT
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:25901-3414
Mailing Address - Country:US
Mailing Address - Phone:304-469-8600
Mailing Address - Fax:304-929-2470
Practice Address - Street 1:430 MAIN ST W
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901-3414
Practice Address - Country:US
Practice Address - Phone:304-469-8600
Practice Address - Fax:304-929-2470
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2009-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant