Organization
FORT SMITH RADIATION ONCOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECKY D FITZPATRICK (BUSINESS MANAGER)
(479) 648-1800
Entity
Organization
Contact information
Practice address
8500 S 36TH TER, FORT SMITH, AR 72908-8880
(479) 648-1800
(479) 434-5899
Mailing address
PO BOX 5710, FORT SMITH, AR 72913-5710
(479) 648-1800
(479) 434-5899
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
E1533
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100727970A
—
OK
05
—
137035002
—
AR
Enumeration date
03/07/2008
Last updated
07/14/2011
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