Midwest Oncology Group PLLC
Internal Medicine, Hematology & Oncology in Edmond, OK. Organization (NPI-2).
NPI number1386936615
StatusActive
Last updated in NPPESMay 4, 2011
Details
- NPI
- 1386936615
- Entity type
- Organization (NPI-2)
- Legal business name
- Midwest Oncology Group PLLC
- Organization subpart
- Yes
- Enumeration date
- May 4, 2011
- Last updated
- May 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | OK | Yes |
Other names
- Optim Oncology Edmond (Doing Business As)
Practice location
1227 E 9th StEdmond, OK 73034-5708
Phone 405-359-7358 · Fax 405-359-7765
Mailing address
1227 E 9th StEdmond, OK 73034-5708
Phone 405-359-7358 · Fax 405-359-7765
Authorized official
Stephen A Hamilton
Credentialing Coordinator
4057378455
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