Organization
IOWA CANCER CARE, PLC
Active
Other names
Oncology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN RICHMOND RHIT (IT COORDINATOR)
(319) 363-8303
Entity
Organization
Contact information
Practice address
525 10TH ST SE, CEDAR RAPIDS, IA 52403-1206
(319) 363-8303
(319) 364-4659
Mailing address
525 10TH ST SE, CEDAR RAPIDS, IA 52403-1206
(319) 363-8303
(319) 364-4659
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
—
—
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0206680
—
IA
01
—
20668
WELLMARK BC/BS
IA
01
—
CO3054
MCRR
IA
Enumeration date
05/09/2006
Last updated
11/08/2007
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