Organization
RADIATION ONCOLOGY ASSOCIATES P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANETTE J ISENBARGER (PRACTICE MANAGER)
(260) 918-2701
Entity
Organization
Contact information
Practice address
7910 W JEFFERSON BLVD STE 110, FORT WAYNE, IN 46804-4159
(260) 436-4116
Mailing address
7910 W JEFFERSON BLVD, STE. 110, FORT WAYNE, IN 46804-4159
(260) 436-4116
(260) 459-2504
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0533239
—
OH
05
—
100257820A
—
IN
Enumeration date
12/19/2005
Last updated
12/07/2018
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