Healthcare Provider Details
I. General information
NPI: 1861431611
Provider Name (Legal Business Name): RADIATION ONCOLOGY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/06/2006
Last Update Date: 11/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2408 E 81ST ST SUITE 110
TULSA OK
74137-4200
US
IV. Provider business mailing address
PO BOX 14145
TULSA OK
74159-1145
US
V. Phone/Fax
- Phone: 918-388-2300
- Fax: 918-388-2301
- Phone: 918-587-1791
- Fax: 918-587-1795
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VAN
HOY
WOO
Title or Position: PRESIDENT
Credential: MD
Phone: 918-587-1791