Organization
CANYON CREST RADIATION ONCOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT THEODORE WOODBURN III MD (AUTHORIZED OFFICIAL)
(219) 741-1713
Entity
Organization
Contact information
Practice address
4931 VENTURE DRIVE, PERU, IL 61345
(779) 345-2945
Mailing address
4931 VENTURE DRIVE, PERU, IL 61345
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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