Organization
ONCOLOGY GROUP INC.
Active
Other names
Sonora Regional Radiation Oncology Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY S YOUNG MD (OWNER)
(209) 536-0223
Entity
Organization
Contact information
Practice address
900 GREENLEY RD, SUITE 901, SONORA, CA 95370-5287
(209) 536-0223
Mailing address
900 GREENLEY RD, SUITE 901, SONORA, CA 95370-5287
(209) 536-0223
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
G61579
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G615791
—
CA
01
—
DF5758
RAIL ROAD MEDICARE
—
05
—
GR0007340
—
CA
Enumeration date
05/26/2006
Last updated
04/10/2012
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