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General NPI Number Information
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NPI Number | 1922090315
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Entity Type | Individual
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Provider Name | BRUCE A CROSS MD
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Gender | Male
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 08/29/2023
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Provider Practice Location Address
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Address Line | 1502 DODSON AVE
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City | FORT SMITH
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State | AR
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Zip | 72901-5128
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Country | US
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Telephone | 479-709-7190
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Fax | 479-709-7193
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Provider Business Mailing Address
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Address Line | PO BOX 11449
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City | BELFAST
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State | ME
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Zip | 04915-4005
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Country | US
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Telephone | 479-709-1924
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Fax | 479-709-7499
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35.056720
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | E7178
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 0431774
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License Number State | KS
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Taxonomy #4
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | H4893
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 36469
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License Number State | MO
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