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Organization
MIDWEST BLOOD AND CANCER SPECIALISTS, LLC
Active
Organization
MIDWEST BLOOD AND CANCER SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JYOTHI CHALLA MD (OWNER)
(937) 398-1971
Entity
Organization
Contact information
Practice address
2355 DERR RD, SPRINGFIELD, OH 45503-2439
(937) 398-1971
(937) 629-3601
Mailing address
2355 DERR RD, SPRINGFIELD, OH 45503-2439
(937) 398-1971
(937) 629-3601
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35-090413
OH
Other
Enumeration date
04/28/2015
Last updated
06/12/2015
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