Organization
DAKOTA WEST RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC STENER EASTINO MD (PARTNER)
(605) 719-8559
Entity
Organization
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701
(605) 719-8559
(605) 719-2310
Mailing address
PO BOX 8010, 353 FAIRMONT BLVD, RAPID CITY, SD 57701
(605) 719-8559
(605) 719-2310
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002528
BLUE CROSS BLUE SHIELD
SD
01
—
C04620
RAILROAD MEDICARE
—
Enumeration date
09/30/2006
Last updated
08/22/2020
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