NPI 1053696245

Nevada Physicians Specialists Toy

Organisation Radiation Oncology Physician Las Vegas, NV

Practice location

Address: 3980 S Eastern Ave, Las Vegas, NV 89119-5102
Phone: (702) 463-9100
Fax: (702) 685-9922
Mailing address: 624 S Tonopah Dr, Las Vegas, NV 89106-4029

Authorised official

Name: Susan Tranquillo
Title: Administrator
Phone: (702) 463-9100

Registered specialties

Radiation Oncology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0001X

Other Radiology providers in Nevada →

Registry record

NPI: 1053696245
Entity type: Organization
NPI issued: 19 Oct 2011
Record last updated: 19 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.