Organization
INDIANA COMMUNITY CANCER CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM M DUGAN M.D. (PRESIDENT)
(317) 924-4022
Entity
Organization
Contact information
Practice address
115 W 19TH ST, INDIANAPOLIS, IN 46202-1310
(317) 924-4022
(317) 924-4233
Mailing address
PO BOX 1326, INDIANAPOLIS, IN 46206-1326
(317) 833-1208
(317) 833-1220
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
50002564A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100311840A
—
IN
Enumeration date
02/07/2006
Last updated
09/17/2010
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