# ST. LOUIS CANCER CARE, L.L.P.

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

## Provider details

- **NPI number:** 1932156726
- **Authorized official:** CAROL J RILEY RN BSN (PRACTICE MANAGER)
- **Authorized official phone:** (314) 965-6411

## Contact information

- **Practice address:** 10004 KENNERLY RD STE 137A, SAINT LOUIS, MO 63128-2140
- **Practice address phone:** (314) 842-7301
- **Practice address fax:** (314) 842-7308
- **Mailing address:** 10004 KENNERLY RD STE 137A, SAINT LOUIS, MO 63128-2140
- **Mailing address phone:** (314) 842-7301
- **Mailing address fax:** (314) 842-7308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 103666 | MO | — |
| 207RH0003X | Hematology & Oncology Physician | 2002002867 | MO | Yes |
| 207RH0003X | Hematology & Oncology Physician | R1C00 | MO | — |
| 207RH0003X | Hematology & Oncology Physician | R6F58 | MO | — |
| 207RH0003X | Hematology & Oncology Physician | R7758 | MO | — |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 11/14/2017
