CARSON TAHOE RADIATION ONCOLOGY NPI 1427099290

NPI Information

CARSON TAHOE RADIATION ONCOLOGY is a therapeutic radiology radiology in Carson City, NV. CARSON TAHOE RADIATION ONCOLOGY NPI is 1427099290. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1535 MEDICAL PARKWAY
SUITE A
CARSON CITY, NV
ZIP 89703-634
Phone: (775) 883-5505
Fax: (775) 883-6779

The provider's authorized official is Billie J. Rebideaux .
The authorized official title is Office Manager and has the following contact phone number (775) 883-5505.

The CLIA number assigned to this NPI record is 29D1080961 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 11/3/2015.

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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