Organization
MIDWEST ONCOLOGY GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A HAMILTON M.D. (PRESIDENT DIRECTOR-GROUP)
(405) 737-8455
Entity
Organization
Contact information
Practice address
230 N MIDWEST BLVD, MIDWEST CITY, OK 73110-4321
(405) 737-8455
(405) 739-8707
Mailing address
PO BOX 26525, DEPT 1, OKLAHOMA CITY, OK 73126-0525
(405) 843-5855
(405) 843-5865
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
18028
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200001200A
—
OK
Enumeration date
05/04/2006
Last updated
07/22/2014
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