Organization
MIDWEST RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN I KEIT MD (OWNER)
(402) 572-2265
Entity
Organization
Contact information
Practice address
3764 39TH AVE, COLUMBUS, NE 68601-4564
(402) 562-8666
(402) 562-8426
Mailing address
PO BOX 3807, OMAHA, NE 68103-0807
(402) 572-2265
(402) 572-2031
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE9388
RAILROAD MEDICARE
NE
Enumeration date
05/16/2006
Last updated
05/07/2012
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