| NPI | 1568001386 |
|---|---|
| Doing Business As | JEFFERSON REGIONAL CANCER CENTER |
| Entity Type | Organization |
| Authorized Contact | BRYAN JACKSON CFO 605-677-3312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QX0200X Clinic/Center, Oncology |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |