Organization
PENINSULA CANCER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEZAM TOOLOEE (AUTHORIZED OFFICIAL)
(206) 755-1825
Entity
Organization
Contact information
Practice address
19917 7TH AVE NE, POULSBO, WA 98370-7403
(360) 697-8000
Mailing address
PO BOX 742322, LOS ANGELES, CA 90074-2322
(360) 697-8000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
04/08/2009
Last updated
01/31/2017
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