Organization
SUMMIT ONCOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYLE M HARRISON MD (MD/OWNER)
(316) 321-8780
Entity
Organization
Contact information
Practice address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 321-8780
(316) 321-8723
Mailing address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 321-8780
(316) 321-8723
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201205230A
—
KS
01
—
EA5581
RADIATION ONCOLOGY
KS
Enumeration date
01/27/2021
Last updated
03/15/2021
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