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Organization
ICRC, P.C.
Active
Organization
ICRC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER M KELLOGG MD (PARTNER)
(480) 821-2838
Entity
Organization
Contact information
Practice address
695 S DOBSON RD, CHANDLER, AZ 85224-5665
(480) 821-2838
(480) 398-8080
Mailing address
PO BOX 6423, CHANDLER, AZ 85246-6423
(480) 821-2838
(480) 398-8080
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085N0904X
Nuclear Radiology Physician
—
NULL
2085N0904X
Nuclear Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
06/25/2010
Last updated
06/25/2010
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