Organization
WILLIAM BRUCE LUNDEEN MD PC
Active
Other names
Radiation Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B LUNDEEN MD (OWNER)
(703) 766-8052
Entity
Organization
Contact information
Practice address
1701 N GEORGE MASON DR, ARLINGTON, VA 22205-3610
(703) 558-6284
(703) 558-5512
Mailing address
12310 PINECREST RD, SUITE 200, RESTON, VA 20191-1653
(703) 860-1178
(703) 860-1266
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101012571
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7276192
—
VA
Enumeration date
09/22/2006
Last updated
06/18/2008
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