| NPI | 1649830977 |
|---|---|
| Doing Business As | ARTESIAN CANCER CENTER @ CLINTON |
| Entity Type | Organization |
| Authorized Contact | DEREK M PRENTICE Managing Member 405-418-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |