Healthcare Provider Details

I. General information

NPI: 1003938853
Provider Name (Legal Business Name): RADIATION ONCOLOGY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 06/22/2021
Certification Date: 06/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MT. CARMEL WAY
PITTSBURG KS
66762
US

IV. Provider business mailing address

PO BOX 2787
JOPLIN MO
64803-2787
US

V. Phone/Fax

Practice location:
  • Phone: 620-235-7900
  • Fax: 620-235-7908
Mailing address:
  • Phone: 620-231-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberR4J03
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DUANE E MYERS
Title or Position: MD
Credential: MD
Phone: 620-235-7900