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 | 208800000X Urology |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
2085R0001X Radiology, Radiation Oncology | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2005-10-31 |
Last Update Date | 2023-10-17 |