# PROGRESSIVE CANCER CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609984301
- **Authorized official:** STEPHEN MUGHMAW (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (765) 662-4293

## Contact information

- **Practice address:** 831 N THEATRE RD, MARION, IN 46952-1701
- **Practice address phone:** (765) 662-4293
- **Mailing address:** PO BOX 1083, INDIANAPOLIS, IN 46206-1083
- **Mailing address phone:** (317) 802-6318
- **Mailing address fax:** (317) 870-0499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/25/2006
- **Last updated:** 09/18/2014