Organization
XRT IV, INC.
Active
Other names
Union Washington Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALVATORE CONTI M D (CO-OWNER)
(636) 583-9161
Entity
Organization
Contact information
Practice address
2 WILLIAMS DR, UNION, MO 63084-2919
(636) 583-9161
(636) 583-1919
Mailing address
2 WILLIAMS DR, UNION, MO 63084-2919
(636) 583-9161
(636) 583-1919
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R5409
MO
174400000X
Specialist
R5635
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CT0792
RAILROAD MEDICARE
MO
Enumeration date
10/04/2006
Last updated
02/29/2008
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