Organization
BLANCHARD VALLEY REGIONAL CANCER CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID M CYTLAK (VP FINANCE)
(419) 423-5497
Entity
Organization
Contact information
Practice address
15990 MEDICAL DR S, FINDLAY, OH 45840-8894
(419) 423-3703
(419) 427-0212
Mailing address
PO BOX 636320, CINCINNATI, OH 45263-6320
(419) 429-6499
(419) 429-6494
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0084779
—
OH
01
—
P00349396
RAILROAD CARE
OH
Enumeration date
09/21/2006
Last updated
04/09/2014
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