Provider Demographics
NPI:1992021562
Name:RADIATION ONCOLOGY ASSOCIATES OF FRESNO
Entity Type:Organization
Organization Name:RADIATION ONCOLOGY ASSOCIATES OF FRESNO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:T
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-450-5500
Mailing Address - Street 1:7130 N MILLBROOK AVE
Mailing Address - Street 2:STE.112
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-3347
Mailing Address - Country:US
Mailing Address - Phone:559-450-5500
Mailing Address - Fax:559-450-5571
Practice Address - Street 1:7130 N MILLBROOK AVE
Practice Address - Street 2:STE.112
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-3347
Practice Address - Country:US
Practice Address - Phone:559-450-5500
Practice Address - Fax:559-450-5571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0846742085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty