| NPI | 1497617286 |
|---|---|
| Doing Business As | CENTRAL CARE CANCER CENTER |
| Entity Type | Organization |
| Authorized Contact | CANDICE EVANS Credentialing Specialist 620-603-8846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2025-12-01 |