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Organization
HEMATOLOGY ONCOLOGY ASSOCIATES LLC
Active
Organization
HEMATOLOGY ONCOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATSY J GREEN (PRACTICE MANAGER)
(573) 332-0226
Entity
Organization
Contact information
Practice address
1723 BROADWAY ST, SUITE 315, CAPE GIRARDEAU, MO 63701-4505
(573) 332-0226
(573) 332-0344
Mailing address
1723 BROADWAY ST, SUITE 315, CAPE GIRARDEAU, MO 63701-4505
(573) 332-0226
(573) 332-0344
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
2004012760
MO
Other
Enumeration date
06/19/2006
Last updated
08/22/2020
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