# HANNIBAL CLINIC OPERATIONS, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** James E. Cary Cancer Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780663401
- **Authorized official:** MR. MICHAEL J BUKSTEIN MD (PHYSICIAN EXEC DIRECTOR)
- **Authorized official phone:** (573) 231-3172

## Contact information

- **Practice address:** 5985 HOSPITAL DR, HANNIBAL, MO 63401
- **Practice address phone:** (573) 406-5800
- **Practice address fax:** (573) 231-3706
- **Mailing address:** 100 MEDICAL DR, HANNIBAL, MO 63401-6877
- **Mailing address phone:** (573) 221-5250
- **Mailing address fax:** (573) 231-3706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/11/2006
- **Last updated:** 04/18/2022