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Organization
CENTRAL NEBRASKA RADIATION ONCOLOGY, PC
Active
Organization
CENTRAL NEBRASKA RADIATION ONCOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWIN BOLTON M.D. (PRESIDENT)
(308) 398-5450
Entity
Organization
Contact information
Practice address
2116 W FAIDLEY AVE, DEPARTMENT OF RADIATION THERAPY, GRAND ISLAND, NE 68803-4645
(308) 398-5450
(308) 398-5351
Mailing address
PO BOX 56, SAINT LIBORY, NE 68872-0056
(308) 687-6288
(308) 687-6288
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
18773
NE
Other
Enumeration date
04/09/2007
Last updated
08/22/2020
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