Organization
TRI-STATE RADIATION ONCOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BEVERLY JUNE RYDER (ADMINISTRATIVE DIRECTOR)
(928) 763-3600
Entity
Organization
Contact information
Practice address
2755 SILVER CREEK RD, SUITE 115, BULLHEAD CITY, AZ 86442-7904
(928) 763-3600
(928) 763-5700
Mailing address
2755 SILVER CREEK RD, SUITE 115, BULLHEAD CITY, AZ 86442-7904
(928) 763-3600
(928) 763-5700
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
8-M-6352
AZ
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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