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Central Nebraska Radiation Oncology, PC

in Grand Island, NE. Organization (NPI-2).

NPI number1700909488
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1700909488
Entity type
Organization (NPI-2)
Legal business name
Central Nebraska Radiation Oncology, PC
Organization subpart
No
Enumeration date
Apr 9, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0001X 18773NEYes

Practice location

2116 W Faidley Ave
Department Of Radiation Therapy
Grand Island, NE 68803-4645

Phone 308-398-5450 · Fax 308-398-5351

Mailing address

Po Box 56
Saint Libory, NE 68872-0056

Phone 308-687-6288 · Fax 308-687-6288

Authorized official

Mark Edwin Bolton
President
3083985450

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