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Organization
ARKANSAS CANCER CLINIC, PA
Active
Organization
ARKANSAS CANCER CLINIC, PA
Active
Other names
Arkansas Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR TAIMOOR ATIQ MD (PRESIDENT)
(870) 535-2800
Entity
Organization
Contact information
Practice address
7200 SOUTH HAZEL, PINE BLUFF, AR 71603
(870) 535-2800
(870) 535-2801
Mailing address
PO BOX 8906, PINE BLUFF, AR 71611
(870) 535-2800
(870) 535-2801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RH0003X
Hematology & Oncology Physician
Primary
R4174
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119286002
—
AR
Enumeration date
04/21/2006
Last updated
12/17/2009
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