| NPI | 1336576438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MEADOWS Director Of Corporate Compliance 681-342-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0200X Clinic/Center Oncology (Licence: WV 107) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2017-10-16 |