OrganizationActive
Shawnee Rt Associates LLC
NPI 1649595166 · Radiation Oncology Physician · Oklahoma City, OK
Provider details
- NPI number
- 1649595166
- Entity type
- Organization
- Primary specialty
- Radiation Oncology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Derek Prentice, Managing Member
Practice location
3700 N Kickapoo Ave
Ste 108
Oklahoma City, OK 74804-0007
Phone: (405) 418-2200
Fax: (405) 418-2201
Mailing address
11101 Hefner Pointe Dr
Oklahoma City, OK 73120-5054
Registry dates
- Enumerated
- 2010-03-29
- Last updated
- 2010-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.