| NPI | 1871580142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN D FLOYD President 618-416-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology (Licence: IL 042005607) |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology (Licence: IL 042005607) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 042005607) | |
| Enumeration Date | 2005-10-03 |
| Last Update Date | 2024-07-31 |