Organization
NEBRASKA INTENSITY MODULATED RADIOTHERAPY PC
Active
Other names
Radiation Oncology Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENNETT R BARRIOS MD (PRESIDENT)
(402) 904-7135
Entity
Organization
Contact information
Practice address
8001 EIGER DR, LINCOLN, NE 68516-6537
(402) 904-7135
(402) 904-7175
Mailing address
PO BOX 6951, LINCOLN, NE 68506-0951
(402) 904-7135
(402) 904-7175
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025202600
—
NE
01
—
DD3654
RAILROAD MEDICARE
NE
Enumeration date
07/08/2006
Last updated
06/16/2017
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