Organization
OKLAHOMA PROTON CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JAMES RAUBACH (OFFICER)
(918) 798-9160
Entity
Organization
Contact information
Practice address
5901 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2015
(918) 798-9160
Mailing address
PO BOX 218, LOWELL, AR 72745-0218
(866) 317-3801
(512) 583-2001
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2018
Last updated
05/06/2022
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