Cross, Bruce A
Cross, Bruce A is an individual health care provider with primary practice located at 1502 Dodson Ave , Fort Smith AR 72901-5128. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Therapeutic Radiology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Cross, Bruce A can be contacted via phone (479) 709-7190.Contact Information
Primary practice address
1502 Dodson Ave
Fort Smith AR 72901-5128
Phone: (479) 709-7190
Fax: (479) 709-7193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 35.056720 | Ohio |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | E7178 | Arkansas |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 0431774 | Kansas |
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | H4893 | Texas |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 36469 | Missouri |
Profile Details
| NPI number | 1922090315 |
|---|---|
| LBN Legal business name | Cross, Bruce A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Aug 29th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922090315 | NPPES |
| Arkansas | MEDICAID | 189668001 | |
| Arkansas | MEDICAID | 0301409 | |
| Arkansas | MEDICAID | 200381370A | |
| Arkansas | MEDICAID | 200078430A |
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