Organization
MARYVIEW HOSPITAL LLC
Active
Other names
BON SECOURS MEDICAL ONCOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M RALSTON (SYSTEM DIRECTOR)
(419) 996-5119
Entity
Organization
Contact information
Practice address
12720 MCMANUS BLVD STE 308, NEWPORT NEWS, VA 23602-4414
(757) 947-3840
(757) 397-8026
Mailing address
PO BOX 639898, CINCINNATI, OH 45263-9898
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
04/19/2022
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