Organization
PROTON INTERNATIONAL ARKANSAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES YOO (DIRECTOR)
(630) 649-4060
Entity
Organization
Contact information
Practice address
3900 W CAPITOL AVE STE 200, LITTLE ROCK, AR 72205-5502
(630) 649-4060
Mailing address
3900 W CAPITOL AVE, STE 200, LITTLE ROCK, AR 72205
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Enumeration date
02/08/2022
Last updated
09/15/2023
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