Provider Demographics
NPI:1568828770
Name:IOWA CITY CANCER TREATMENT CENTER LLC
Entity Type:Organization
Organization Name:IOWA CITY CANCER TREATMENT CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUATTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-354-8777
Mailing Address - Street 1:3010 NORTHGATE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52245-9572
Mailing Address - Country:US
Mailing Address - Phone:319-354-8777
Mailing Address - Fax:319-354-9545
Practice Address - Street 1:3010 NORTHGATE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52245-9572
Practice Address - Country:US
Practice Address - Phone:319-354-8777
Practice Address - Fax:319-354-9545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty