Individual
DR. NANCY A CERSONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5901 W MEMORIAL RD, OKLAHOMA CITY, OK 73142-2015
(057) 736-7004
(405) 720-3910
Mailing address
PO BOX 218, LOWELL, AR 72745-0218
(866) 317-3801
(512) 583-2001
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
28891
OK
2085R0001X
Radiation Oncology Physician
46111
CO
2085R0001X
Radiation Oncology Physician
57007866
OH
2085R0001X
Radiation Oncology Physician
Q2524
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021800
KAISER COMMERCIAL NUMBER
CO
05
—
200410900A
—
OK
05
—
23484241
—
CO
Enumeration date
05/25/2007
Last updated
03/02/2020
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