Organization
CYPRESS RT ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK M PRENTICE (MANAGING MEMBER)
(405) 418-2200
Entity
Organization
Contact information
Practice address
9300 E 29TH ST N, BLDG 300 STE 410, WICHITA, KS 67226-2182
(316) 636-5800
(316) 636-5801
Mailing address
11101 HEFNER POINTE DR, STE 209, OKLAHOMA CITY, OK 73120-5054
(405) 418-2900
(405) 418-2901
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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