| NPI | 1891335873 |
|---|---|
| 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 | 2085R0001X Radiology, Radiation Oncology |
| Additional Taxonomies | 207RX0202X Internal Medicine, Medical Oncology |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-23 |