| NPI | 1710252390 |
|---|---|
| Doing Business As | CENTRAL CARE CANCER CENTER |
| Entity Type | Organization |
| Authorized Contact | STACY CLOYD Credentialing Manager 785-823-0633 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2017-04-20 |