NPI: 1649223868 · ROSEBURG, OR 97471 · Radiation Oncology Physician · NPI assigned 05/18/2006
| Authorized Official | MOORE, RANDY (PRESIDENT) |
| NPI Enumeration Date | 05/18/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 21 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 77427 | 21 | 12 | $3K |