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FOUR CORNERS RADIATION ONCOLOGY PC NPI 1720290968


NPI Information

NPI: 1720290968
Provider Name: FOUR CORNERS RADIATION ONCOLOGY PC
Classification: Radiologic Technologist - 2471R0002X
Entity Type: Organization

Specialization: Radiation Therapy

Address:
800 W MAPLE
FARMINGTON, NM
ZIP 87401
Phone: (505) 599-6105
Get Directions

FOUR CORNERS RADIATION ONCOLOGY PC is a radiation therapy radiologic technologist in Farmington, NM. The provider is a radiologic technologist who specializes in radiation therapy and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in administration of radiation therapy, exam techniques, equipment protocols, radiation safety, and patient care. FOUR CORNERS RADIATION ONCOLOGY PC NPI is 1720290968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 W MAPLE
FARMINGTON, NM
ZIP 87401
Phone: (505) 599-6105

The provider's authorized official is Linh Ngoc Nguyen .
The authorized official title is Owner and has the following contact phone number (505) 599-6105.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 8/22/2020.


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
12471R0002XRadiologic TechnologistRadiation TherapyMD2004-0204NEW MEXICOYes

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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