| # |
Taxonomy Code |
Taxonomy |
License Number |
License Number State |
| 1 | 2085R0001X | Radiation Oncology Physician | | |
| 2 | 2085R0203X | Therapeutic Radiology Physician | | |
| 3 | 208D00000X | General Practice Physician | | |
| 4 | 332900000X | Non-Pharmacy Dispensing Site | | |
| 5 | 363AM0700X | Medical Physician Assistant | | |
| 6 | 363LF0000X | Family Nurse Practitioner | | |
| 7 | 363LP0200X | Pediatric Nurse Practitioner | | |
| 8 | 207RX0202X | Medical Oncology Physician | | |
| 9 | 207R00000X | Internal Medicine Physician | | |
| 10 | 207RH0000X | Hematology (Internal Medicine) Physician | | |
| 11 | 207RH0003X | Hematology & Oncology Physician | | |