| NPI | 1205265303 |
|---|---|
| Other Name | THE CANCER CENTER AT PROVIDENCE PARK PET CT |
| Entity Type | Organization |
| Authorized Contact | JAMES L. WALKER President 251-633-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |