Organization
ASSOCIATES IN TUMOR THERAPY, CHARTERED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD R JACOBS MD (PRESIDENT)
(732) 233-0640
Entity
Organization
Contact information
Practice address
2801 CLEARWATER CT, JOPLIN, MO 64801-8239
(732) 233-0640
Mailing address
2801 CLEARWATER CT, JOPLIN, MO 64801-8239
(732) 233-0640
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
06/27/2007
Last updated
08/04/2010
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