Provider Demographics
NPI:1629489539
Name:BREILER, CLIFFTON (RPA, RT(R))
Entity Type:Individual
Prefix:
First Name:CLIFFTON
Middle Name:
Last Name:BREILER
Suffix:
Gender:M
Credentials:RPA, RT(R)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 SE CARY PKWY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7419
Mailing Address - Country:US
Mailing Address - Phone:919-851-1515
Mailing Address - Fax:
Practice Address - Street 1:930 SE CARY PKWY
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7419
Practice Address - Country:US
Practice Address - Phone:919-851-1515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI13 MI 1471243U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant