BLYTHEVILLE RT ASSOCIATES LLC NPI 1588000228

NPI Information

NPI: 1588000228
Provider Name: BLYTHEVILLE RT ASSOCIATES LLC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1522 N DIVISION ST
BLYTHEVILLE, AR
ZIP 72315
Phone: (870) 762-1400
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BLYTHEVILLE RT ASSOCIATES LLC is a radiation oncology radiology in Blytheville, AR. 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. BLYTHEVILLE RT ASSOCIATES LLC NPI is 1588000228. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1522 N DIVISION ST
BLYTHEVILLE, AR
ZIP 72315-448
Phone: (870) 762-1400
Fax: (870) 762-1403

The provider's authorized official is Derek M Prentice .
The authorized official title is Managing Member and has the following contact phone number (405) 418-2200.

The enumeration date for this NPI number is 5/21/2013 and was last updated on 5/21/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology			Yes

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

NPI Synchronization or Removal

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