Organization
BARTLESVILLE RADIATION THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAURICE D. KRAUSE MD (PRESIDENT)
(918) 331-1857
Entity
Organization
Contact information
Practice address
3500 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 331-1857
(918) 331-1698
Mailing address
PO BOX 1315, BARTLESVILLE, OK 74005-1315
(918) 331-1857
(918) 331-1698
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
16690
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
307448733 A002
CHAMPUS
—
01
—
307448733004
BLUE CROSS
OK
Enumeration date
04/09/2007
Last updated
08/22/2020
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