Organization Name: | SOUTH ARKANSAS RT ASSOCIATES LLC |
NPI Number: | 1104125616 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEREK M PRENTICE (MANAGING MEMBER) |
Mailing Address: | 503 Thompson Ave El Dorado |
State: | AR US |
Postal Code: | 717304555 |
Phone Number: | 8708640318 |
Fax Number: | 8708629660 |
NPI Enumeration Date: | 03/23/2011 |
NPI Last Update Date: | 03/23/2011 |
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. |