| NPI | 1083109037 |
|---|---|
| Doing Business As | PROVISION CARES PROTON CENTER OKC, LLC |
| Entity Type | Organization |
| Authorized Contact | VALERIE GIBBS Director Of Business Operations 865-342-4518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |