Organization
PROSTATE CANCER INSTITUTE OF IOWA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AJAY BHATNAGAR MD (PHYSICIAN OWNER)
(480) 360-4009
Entity
Organization
Contact information
Practice address
3319 SPRING ST, DAVENPORT, IA 52807-2125
(480) 360-4009
Mailing address
PO BOX 15088, PHOENIX, AZ 85060-5088
(480) 360-4124
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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