Organization
GENESISCARE LANDMARK MISSOURI CANCER CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY T. TRIPLETTE MD (PRESIDENT)
(314) 665-3096
Entity
Organization
Contact information
Practice address
450 N NEW BALLAS RD STE 70W, SAINT LOUIS, MO 63141-6833
(314) 665-3096
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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