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Organization

CENTRAL NEBRASKA RADIATION ONCOLOGY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK EDWIN BOLTON M.D. (PRESIDENT)
(308) 398-5450
Entity
Organization

Contact information

Practice address
2116 W FAIDLEY AVE, DEPARTMENT OF RADIATION THERAPY, GRAND ISLAND, NE 68803-4645
(308) 398-5450
(308) 398-5351
Mailing address
PO BOX 56, SAINT LIBORY, NE 68872-0056
(308) 687-6288
(308) 687-6288

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
18773
NE

Other

Enumeration date
04/09/2007
Last updated
08/22/2020
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