Organization
MERCY THERAPEUTIC RADIOLOGY ASSOCIATES LLC
Active
Other names
Mercy Cancer Center Radiation Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID H VELLINGA (PRESIDENT/CEO)
(515) 247-4278
Entity
Organization
Contact information
Practice address
411 LAUREL ST, SUITE C 100, DES MOINES, IA 50314-3017
(515) 643-5168
Mailing address
PO BOX 816, DES MOINES, IA 50304-0816
(515) 643-5168
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
12/08/2006
Last updated
10/04/2011
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