NPI | 1104312628 |
---|---|
Doing Business As | TRIPLE CROWN UROLOGY |
Doing Business As | GENESIS CANCER AND BLOOD INSTITUTE |
Entity Type | Organization |
Authorized Contact | RYAN K OLSON Owner / President 239-318-9284 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
Additional Taxonomies | 207RH0000X Internal Medicine, Hematology |
207RX0202X Internal Medicine, Medical Oncology | |
2085R0202X Radiology, Diagnostic Radiology | |
208800000X Urology | |
Enumeration Date | 2018-07-09 |
Last Update Date | 2024-08-28 |