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Organization
SAN JUAN ONCOLOGY ASSOCIATES, PC
Active
Organization
SAN JUAN ONCOLOGY ASSOCIATES, PC
Active
Other names
FOUR CORNERS CANCER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZA THURSON (BILLING SPECIALIST)
(505) 564-6871
Entity
Organization
Contact information
Practice address
1305 ESCALANTE DR STE 102-103, DURANGO, CO 81303-8931
(970) 335-9261
(970) 828-6890
Mailing address
PO BOX 1799, FARMINGTON, NM 87499-1799
(505) 564-6850
(505) 258-4959
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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