Organization · Type 2 NPI
Prostate Cancer Institute of New Mexico PC
Radiation Oncology Physician · Farmington, NM
NPI number
1619737079
Active
Practice location
2300 E 30th St Ste B-106
Farmington, NM 87401-8991
Fax (505) 421-3145
Mailing address
PO Box 15088
Phoenix, AZ 85060-5088
Other practice locations
- 801 W Maple St, Farmington, NM 87401-5630 · (505) 421-3144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiation Oncology Physician Primary | 2085R0001X | 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.
About NPI 1619737079
Prostate Cancer Institute of New Mexico PC's National Provider Identifier is 1619737079, issued on Mar 21, 2024. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Farmington, NM. The record was last updated on Aug 15, 2024.