| Organization Name: | TERRY D POWELL RADIATION ONCOLOGIST, INC. |
| NPI Number: | 1093047185 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRY DOUGLAS POWELL (PRESIDENT/OWNER) |
| Mailing Address: | 1400 W 4th St, Radiation Oncology Dept Coffeyville |
| State: | KS US |
| Postal Code: | 67337 |
| Phone Number: | 6202521684 |
| Fax Number: | 6202521692 |
| NPI Enumeration Date: | 02/01/2010 |
| NPI Last Update Date: | 02/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0203X |
| License Number: | 9106 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Therapeutic Radiology |
| Taxonomy Definition: | |