Organization Name: | PENINSULA CANCER CENTER, LLC |
NPI Number: | 1083857940 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BERIT L MADSEN (PHYSICIAN) |
Mailing Address: | 19917 7th Ave Ne Poulsbo |
State: | WA US |
Postal Code: | 983707403 |
Phone Number: | 3606978000 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2009 |
NPI Last Update Date: | 09/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0001X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Radiation Oncology |
Taxonomy Definition: | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |