Organization · Type 2 NPI

Gammawest Brachytherapy, LLC

Radiation Oncology Physician · Salt Lake City, UT

NPI number 1053451617 Active

Practice location

1250 E 3900 S # B-10
Salt Lake City, UT 84124-1348

Call (801) 456-8401 Map

Fax (801) 456-8408

Mailing address

104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Physician Primary	2085R0001X	2054905-0160 (UT)
Multi-Specialty Clinic/Center	261QM1300X	None listed

Radiation Oncology Physician: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

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NPI record

NPI: 1053451617
Entity type: Organization (Type 2)
Issued: Feb 6, 2007
Last updated: Sep 12, 2023
Status: Active

Other names

<unavail>
Gamma West Cancer Services · doing business as
Gamma West Cancer Services · doing business as

Authorized official

Robbie Rhymer
EVP HR & COO
(156) 467-7415

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053451617

Gammawest Brachytherapy, LLC's National Provider Identifier is 1053451617, issued on Feb 6, 2007. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 12, 2023.