Organization
PROVISION CARES PROTON CENTER OKC, LLC
Active
Other names
Provision Cares Proton Center OKC, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE GIBBS (DIRECTOR OF BUSINESS OPERATIONS)
(865) 342-4518
Entity
Organization
Contact information
Practice address
5901 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2015
(865) 342-4518
Mailing address
6450 PROVISION CARES WAY, KNOXVILLE, TN 37909-2544
(865) 342-4518
(865) 321-4555
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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