Organization
CLINTONWEATHERFORD RT ASSOCIATES LLC
Active
Other names
ARTESIAN CANCER CENTER @ CLINTON
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK M PRENTICE (MANAGING MEMBER)
(405) 418-2200
Entity
Organization
Contact information
Practice address
100 N 30TH ST, CLINTON, OK 73601-3117
(405) 418-2200
(405) 418-2201
Mailing address
11032 QUAIL CREEK RD STE 165, OKLAHOMA CITY, OK 73120-6208
(405) 418-2200
(405) 418-2201
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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