| NPI | 1578532081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY CLOYD Credentialing Manager 785-823-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology Radiation Oncology |
| Additional Taxonomies | 207RX0202X Internal Medicine Medical Oncology |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2020-02-13 |