INDIANA UNIVERSITY HEALTH PROTON THERAPY CENTER LLC NPI 1780775163

NPI Information

INDIANA UNIVERSITY HEALTH PROTON THERAPY CENTER, LLC is an oncology and radiation clinic center in Bloomington, IN. INDIANA UNIVERSITY HEALTH PROTON THERAPY CENTER, LLC NPI is 1780775163. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Midwest Proton Radiotherapy Institute, Llc.

The provider's business location address is:

2425 MILO B. SAMPSON LANE
BLOOMINGTON, IN
ZIP 47408-398
Phone: (812) 349-5074
Fax: (812) 349-5046

The provider's authorized official is John Kerstiens .
The authorized official title is Coo/cfo and has the following contact phone number (812) 349-5028.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 11/28/2012.

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:

Other Identifiers

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