Provider Demographics
NPI:1356782130
Name:PFEIFFER, STEPHANIE AMBER (RT(R)(T))
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:AMBER
Last Name:PFEIFFER
Suffix:
Gender:F
Credentials:RT(R)(T)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6868 HIGHBURY RD
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3144
Mailing Address - Country:US
Mailing Address - Phone:937-681-5925
Mailing Address - Fax:
Practice Address - Street 1:148 W NORTH ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-2547
Practice Address - Country:US
Practice Address - Phone:937-323-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-09
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471R0002XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiation Therapy
No247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist