Blytheville Rt Associates LLC
NPI #1588000228 in Blytheville, Arkansas
Provider Information
- NPI Number
- 1588000228
- Entity Type
- Organization
- Organization Name
- Blytheville Rt Associates LLC
- Primary Specialty
- Radiology - Radiation Oncology
- Enumeration Date
- May 21, 2013
- Last Updated
- May 21, 2013
Practice Location
- Address
- 1522 N DIVISION ST
- City
- Blytheville
- State
- Arkansas
- ZIP Code
- 72315-1448
- Phone
- (870) 762-1400
Authorized Official
- Name
- MR. DEREK M PRENTICE
- Title
- MANAGING MEMBER
- Phone
- (405) 418-2200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Radiation Oncology — Radiation Oncology |
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