Individual
BRUCE A CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1502 DODSON AVE, FORT SMITH, AR 72901-5128
(479) 709-7190
(479) 709-7193
Mailing address
PO BOX 11449, BELFAST, ME 04915-4005
(479) 709-1924
(479) 709-7499
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
0431774
KS
2085R0001X
Radiation Oncology Physician
35.056720
OH
2085R0001X
Radiation Oncology Physician
Primary
36469
MO
2085R0001X
Radiation Oncology Physician
E7178
AR
2085R0203X
Therapeutic Radiology Physician
H4893
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0301409
—
OH
05
—
189668001
—
AR
05
—
200078430A
—
OK
05
—
200381370A
—
KS
Enumeration date
08/22/2005
Last updated
08/29/2023
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