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Organization

LAWRENCE R DARDICK MD PROF CORP

Active
Other names
MOUNTAIN RADIATION ONCOLOGY
Organization subpart
No

Provider details

NPI number
Authorized official
DORESA BANNING (CREDENTIALING)
(775) 828-9729
Entity
Organization

Contact information

Practice address
3267 KINGFISHER DR, RENO, NV 89509-3989
(775) 828-9729
(775) 825-0389
Mailing address
3267 KINGFISHER DR, RENO, NV 89509-3989
(775) 828-9729
(775) 825-0389

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
8735
NV

Other

Enumeration date
02/05/2008
Last updated
03/02/2017
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