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Organization
TULSA CANCER INSTITUTE, PLLC
Active
Organization
TULSA CANCER INSTITUTE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARON G STREET M.D. (PRESIDENT)
(918) 505-3200
Entity
Organization
Contact information
Practice address
600 S ADAMS ST, STILLWATER, OK 74074-4370
(405) 372-1775
(405) 372-1802
Mailing address
600 S ADAMS ST, STILLWATER, OK 74074-4370
(405) 372-1775
(405) 372-1802
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207VX0201X
Gynecologic Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200412430A
—
OK
Enumeration date
07/13/2015
Last updated
07/13/2015
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