| NPI | 1922099811 |
|---|---|
| Other Name | DBA SOUTHERN INDIANA RADIATIONTHERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHEAL SHANNON CEO 812-282-3899 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0001X |
| Additional Taxonomies | 208800000X Urology |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2025-05-12 |