Organization
UNIVERSITY RADIATION ONCOLOGY CONSULTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E MOFFITT MD (MANAGING PARTNER)
(601) 984-1010
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2550
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1010
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01482710
—
MS
Enumeration date
11/03/2006
Last updated
08/22/2020
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