# ONCORDIS CLINIC AT CANCER TREATMENT CENTERS OF AMERICA PC

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

## Provider details

- **NPI number:** 1831576834
- **Authorized official:** RICH HALDEMAN (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (918) 286-5502

## Contact information

- **Practice address:** 10153 EAST 79TH STREET, TULSA, OK 74133
- **Practice address phone:** (918) 286-5502
- **Mailing address:** PO BOX 33069, TULSA, OK 74153-1069
- **Mailing address phone:** (918) 286-5502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0200X | Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2015
- **Last updated:** 06/18/2015