Organization
NORTH STATE CANCER SPECIALTY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JED L FREEMAN MD (PRES)
(530) 242-8822
Entity
Organization
Contact information
Practice address
2510 AIRPARK DR, SUITE 103, REDDING, CA 96001
(530) 242-8822
(530) 242-0849
Mailing address
PO BOX 496084, REDDING, CA 96049-6084
(530) 241-0473
(530) 241-5377
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
35-056102F
OH
207RH0003X
Hematology & Oncology Physician
Primary
G73860
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G738600
—
CA
Enumeration date
04/25/2006
Last updated
03/03/2009
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