| NPI | 1164920328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA LONGMORE-GRUND CFO 800-544-3215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2018-01-23 |