North Coast Cancer Care, INC
Internal Medicine, Hematology & Oncology in Clyde, OH. Organization (NPI-2).
NPI number1598801540
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1598801540
- Entity type
- Organization (NPI-2)
- Legal business name
- North Coast Cancer Care, INC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0003X | Internal Medicine, Hematology & Oncology | – | – | Yes |
Practice location
509 W McPherson HwyClyde, OH 43410-1107
Phone 419-547-9500 · Fax 419-547-9400
Mailing address
509 W McPherson HwyClyde, OH 43410-1107
Phone 419-547-9500 · Fax 419-547-9400
Authorized official
Steven Gale Roshon
President
4196269090
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