Organization
UNIVERSITY RADIATION ONCOLOGISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS C SHRIEVE MD (DEPARTMENT CHAIR)
(801) 581-8793
Entity
Organization
Contact information
Practice address
1950 EAST CIRCLE OF HOPE, STE. 1570, SALT LAKE CITY, UT 84112-5550
(801) 581-8793
Mailing address
PO BOX 413031, SALT LAKE CITY, UT 84141-3031
(801) 236-7747
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CQ2420
RAILROAD MEDICARE
UT
Enumeration date
06/07/2006
Last updated
09/06/2011
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