| NPI | 1558980474 |
|---|---|
| Doing Business As | CENTRAL CARE CANCER CENTER |
| Entity Type | Organization |
| Authorized Contact | STACY CLOYD Provider Enrollment Specialist 785-823-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 261QX0203X Clinic/Center, Oncology, Radiation |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-04-10 |