| NPI | 1831697374 |
|---|---|
| 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 |
| 208600000X Surgery | |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2020-05-05 |