Organization
MIDWEST ONCOLOGY GROUP PLLC
Active
Parent organization
MIDWEST ONCOLOGY GROUP PLLC
Other names
Optim Oncology Edmond
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST ONCOLOGY GROUP PLLC
Authorized official
STEPHEN A HAMILTON MD (CREDENTIALING COORDINATOR)
(405) 737-8455
Entity
Organization
Contact information
Practice address
1227 E 9TH ST, EDMOND, OK 73034-5708
(405) 359-7358
(405) 359-7765
Mailing address
1227 E 9TH ST, EDMOND, OK 73034-5708
(405) 359-7358
(405) 359-7765
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
OK
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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