Organization
TRUITT RADIATION ONCOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SAMUEL TRUITT M.D. (PRESIDENT)
(520) 508-0754
Entity
Organization
Contact information
Practice address
405 W COUNTRY CLUB RD, ROSWELL, NM 88201-5209
(575) 624-8738
(575) 624-8758
Mailing address
9787 S TURKEY TRACK RD, HEREFORD, AZ 85615-9617
(520) 508-0754
(520) 378-2501
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
86-136
NM
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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