| NPI | 1184968661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LIEBLONG President 870-932-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2017-04-07 |