Organization
UNIVERSITY RADIOTHERAPY ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JOSEPH SPANOS JR. MD (PRESIDENT AND CHIEF OFFICER)
(502) 561-2700
Entity
Organization
Contact information
Practice address
529 S JACKSON ST, LOUISVILLE, KY 40202-3229
(502) 561-2708
(502) 561-2709
Mailing address
PO BOX 740041, DEPT 5081, LOUISVILLE, KY 40201-7441
(502) 561-2708
(502) 561-2709
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100008650
—
IN
05
—
65916488
—
KY
Enumeration date
08/21/2006
Last updated
05/30/2008
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