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Organization

BILOXI RADIATION ONCOLOGY CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM BURLESON MD (PRESIDENT)
(228) 314-2510
Entity
Organization

Contact information

Practice address
1732 MEDICAL PARK DR, BILOXI, MS 39532-2131
(228) 314-2510
(228) 314-2517
Mailing address
1732 MEDICAL PARK DR, BILOXI, MS 39532-2131

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
13432
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09015206
MS
Enumeration date
05/10/2007
Last updated
05/20/2014
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