Tulsa Cancer Institute, PLLC
Internal Medicine, Hematology & Oncology in Stillwater, OK. Organization (NPI-2).
NPI number1275917908
StatusActive
Last updated in NPPESJul 13, 2015
Details
- NPI
- 1275917908
- Entity type
- Organization (NPI-2)
- Legal business name
- Tulsa Cancer Institute, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 13, 2015
- Last updated
- Jul 13, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | Yes |
| 207VX0201X | Obstetrics & Gynecology, Gynecologic Oncology | – | – | |
| 2085R0001X | – | – |
Practice location
600 S Adams StStillwater, OK 74074-4370
Phone 405-372-1775 · Fax 405-372-1802
Mailing address
600 S Adams StStillwater, OK 74074-4370
Phone 405-372-1775 · Fax 405-372-1802
Authorized official
Daron G Street
President
9185053200
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