Organization
MISSOURI CANCER ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW ILIFF MD (PRESIDENT)
(573) 874-7800
Entity
Organization
Contact information
Practice address
1705 E BROADWAY, SUITE 100, COLUMBIA, MO 65201-5852
(573) 874-7800
(573) 443-3627
Mailing address
1705 E BROADWAY STE 100, COLUMBIA, MO 65201-7167
(573) 874-7800
(573) 443-3627
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
501811509
—
MO
05
—
509696605
—
MO
Enumeration date
08/09/2006
Last updated
02/17/2025
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