| NPI | 1689852337 | 
|---|---|
| Doing Business As | MOUNTAIN RADIATION ONCOLOGY | 
| Entity Type | Organization | 
| Authorized Contact | DORESA BANNING Credentialing 775-828-9729  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2085R0001X  (Licence: NV 8735)  | 
| Enumeration Date | 2008-02-05 | 
| Last Update Date | 2017-03-02 |