Organization
UNIVERSITY RADIATION ONCOLOGY ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MCMULLEN (PRESIDENT)
(317) 962-3172
Entity
Organization
Contact information
Practice address
535 BARNHILL DR, RT 041, INDIANAPOLIS, IN 46202-5116
(317) 944-1259
(317) 944-2486
Mailing address
250 N SHADELAND AVE, SUITE 130, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200017290
—
IN
Enumeration date
05/15/2006
Last updated
04/08/2015
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