Organization
INTEGRITY ONCOLOGY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROLA OBAJI (CEO)
(901) 853-6012
Entity
Organization
Contact information
Practice address
302 S RHODES ST, WEST MEMPHIS, AR 72301-4215
(870) 733-1800
(870) 733-1077
Mailing address
PO BOX 5138, MEMPHIS, TN 38101-5138
(901) 853-6012
(901) 853-6069
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
019652
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548268592
MD NPI
AR
01
—
5G397
PTAN
AR
Enumeration date
09/29/2009
Last updated
08/30/2012
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