Organization · Type 2 NPI
Peninsula Rad Onc CTR LLC
Radiology Clinic/Center · Gig Harbor, WA
NPI number
1366694796
Active
Practice location
11511 Canterwood Blvd Ste 50
Gig Harbor, WA 98332-5816
Fax (253) 627-8792
Mailing address
4230 Bridgeport Way W Ste B
University Place, WA 98466-4335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiation Oncology Physician | 2085R0001X | None listed |
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
Another provider at this address
About NPI 1366694796
Peninsula Rad Onc CTR LLC's National Provider Identifier is 1366694796, issued on Oct 16, 2008. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Gig Harbor, WA. The record was last updated on Sep 9, 2020.