Healthcare Provider Details

I. General information

NPI: 1881703619
Provider Name (Legal Business Name): RADIATION ONCOLOGY CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 S UTICA AVE RADIATION ONCOLOGY DEPT
TULSA OK
74104-4012
US

IV. Provider business mailing address

PO BOX 21228 DEPT 18
TULSA OK
74121-1228
US

V. Phone/Fax

Practice location:
  • Phone: 918-579-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DIANE M HEATON
Title or Position: OWNER
Credential: MD
Phone: 918-579-1000