is a Hematology & Oncology in , . practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for is 1770535908. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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Address | , , |
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Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1770535908 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
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State | () |
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Provider's Primary Taxonomy Detail
Speciality | Hematology & Oncology |
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Taxonomy | 207Rh0003X |
Licence No | G11836 |
Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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WG11836A | PPIN | ||
00G118360764 | CA | -- |
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