Organization · Type 2 NPI

Cancer Therapy Medical Group Inc

Radiation Oncology Physician · Rohnert Park, CA

NPI number 1649280520 Active

Practice location

301 Professional Center Dr
Rohnert Park, CA 94928-2152

Call (707) 584-2200 Map

Fax (707) 584-7582

Mailing address

PO Box 756
Danville, CA 94526-0756

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.

4 other providers at this address

NPI record

NPI: 1649280520
Entity type: Organization (Type 2)
Issued: Aug 9, 2006
Last updated: Apr 4, 2023
Status: Active
Subpart: Yes of Cancer Therapy Medical Group Inc

Other names

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Rohnert Park Cancer Center · doing business as
Rohnert Park Cancer Center · doing business as

Authorized official

Dr. Jonathan Humphrey, MD
Medical Director
(925) 952-8700

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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 1649280520

Cancer Therapy Medical Group Inc's National Provider Identifier is 1649280520, issued on Aug 9, 2006. The primary taxonomy on file is Radiation Oncology Physician (2085R0001X), and the practice location is in Rohnert Park, CA. The record was last updated on Apr 4, 2023.