Provider Demographics
NPI:1558542571
Name:MCCURDY, TIFFANY RAE (RDCS)
Entity Type:Individual
Prefix:
First Name:TIFFANY
Middle Name:RAE
Last Name:MCCURDY
Suffix:
Gender:F
Credentials:RDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 S PHILLIPS AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-4826
Mailing Address - Country:US
Mailing Address - Phone:605-339-6442
Mailing Address - Fax:
Practice Address - Street 1:2509 S PHILLIPS AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-4826
Practice Address - Country:US
Practice Address - Phone:605-339-6442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography