Organization
GROVE RT ASSOCIATES LLC
Active
Other names
ARTESIAN CANCER CENTER @ GROVE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK M PRENTICE (MANAGING MEMBER)
(405) 418-2200
Entity
Organization
Contact information
Practice address
3632 US HIGHWAY 59 N, GROVE, OK 74344-3704
(918) 787-7789
(918) 787-4302
Mailing address
11101 HEFNER POINTE DR, STE 209, OKLAHOMA CITY, OK 73120-5054
(405) 418-2900
(405) 418-2907
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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