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Organization
NORTHERN PLAINS RADIATION ONCOLOGY, P.C.
Active
Organization
NORTHERN PLAINS RADIATION ONCOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE M. HARRISON M.D. (PRESIDENT)
(701) 572-0988
Entity
Organization
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 572-0988
(701) 774-2021
Mailing address
PO BOX 21, WILLISTON, ND 58802-0021
(701) 572-0988
(701) 774-2021
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01237001
BLUE CROSS BLUE SHIELD
ND
05
—
10770
—
ND
Enumeration date
11/15/2006
Last updated
08/22/2020
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