Organization
ONCOLOGICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M. MAITLAND DELAND M.D. (PRESIDENT)
(337) 237-2057
Entity
Organization
Contact information
Practice address
917 GENERAL MOUTON AVE, LAFAYETTE, LA 70501-8511
(337) 237-2057
(337) 264-1029
Mailing address
917 GENERAL MOUTON AVE, LAFAYETTE, LA 70501-8511
(337) 237-2057
(337) 264-1029
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01794678
—
LA
Enumeration date
06/24/2006
Last updated
10/22/2007
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