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SPOKANE RADIATION ONCOLOGY ASSOCIATES P S NPI 1083607477


NPI Information

NPI: 1083607477
Provider Name: SPOKANE RADIATION ONCOLOGY ASSOCIATES P S
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
700 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814
Phone: (208) 666-3800
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SPOKANE RADIATION ONCOLOGY ASSOCIATES P S is a radiation oncology radiology in Coeur D Alene, ID. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. SPOKANE RADIATION ONCOLOGY ASSOCIATES P S NPI is 1083607477. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

700 W IRONWOOD DR
COEUR D ALENE, ID
ZIP 83814-656
Phone: (208) 666-3800
Fax: (208) 666-3817

The provider's authorized official is David E Davenport .
The authorized official title is Delegated Official and has the following contact phone number (208) 666-3800.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 12/4/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CN8904OTHERRAILROAD MEDICARE
21375964MEDICARE ID-TYPE UNSPECIFIEDIDAHOCIGNA MEDICARE - GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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