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Organization
MUSKOGEE CANCER CLINIC INC PC
Active
Organization
MUSKOGEE CANCER CLINIC INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANI GEORGE JUMEAN MD FRCP FACP (OWNER PRESIDENT)
(918) 686-8500
Entity
Organization
Contact information
Practice address
3206 W OKMULGEE AVE, MUSKOGEE, OK 74401
(918) 686-8500
(918) 686-8900
Mailing address
3206 W OKMULGEE AVE, MUSKOGEE, OK 74401
(918) 686-8500
(918) 686-8900
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
18238
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393783545002
BCBS OF OK
OK
Enumeration date
11/13/2007
Last updated
11/13/2007
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