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Organization
CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
Active
Organization
CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
Active
Parent organization
CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
Other names
Southwest Oklahoma Cancer Center, L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
Authorized official
MR. JAMES L HOOTON (CHEIF OPERATING OFFICER)
(580) 536-2121
Entity
Organization
Contact information
Practice address
1200 E BROADWAY ST, ALTUS, OK 73521-5702
(580) 480-4400
(580) 480-4416
Mailing address
104 NW 31ST ST, LAWTON, OK 73505-6100
(580) 536-2121
(580) 536-2150
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
OK
2085R0001X
Radiation Oncology Physician
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200280260C
—
OK
05
—
200280260E
—
OK
01
—
6502330002
NSC
OK
Enumeration date
04/25/2008
Last updated
06/07/2024
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