| NPI | 1104183953 |
|---|---|
| Doing Business As | SOUTHERN INDIANA RADIATION THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SHANNON CEO 812-282-3899 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2021-05-19 |