Organization
NORTHERN PLAINS RADIATION ONCOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE M. HARRISON M.D. (PRESIDENT)
(701) 572-0988
Entity
Organization
Contact information
Practice address
1301 15TH AVE W, WILLISTON, ND 58801-3821
(701) 572-0988
(701) 774-2021
Mailing address
PO BOX 21, WILLISTON, ND 58802-0021
(701) 572-0988
(701) 774-2021
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01237001
BLUE CROSS BLUE SHIELD
ND
05
—
10770
—
ND
Enumeration date
11/15/2006
Last updated
08/22/2020
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