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Contact Information

PROTON INTERNATIONAL ARKANSAS, LLC
3900 W CAPITOL AVE STE 200
LITTLE ROCK, AR72205-5502
 Phone: 630-649-4060
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
 

Oncology, Radiation

261QX0203X
 

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for PROTON INTERNATIONAL ARKANSAS, LLC

NPI Number 1154075257
LBN Legal business name PROTON INTERNATIONAL ARKANSAS, LLC
Authorized official CHARLES YOO - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2022
Last updated 09/15/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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