Organization
SITUS CANCER RESEARCH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J W BOLT PHD (OPERATIONS MANAGER)
(479) 636-0500
Entity
Organization
Contact information
Practice address
504 N 13TH ST, ROGERS, AR 72756-3432
(479) 636-0500
(479) 636-6161
Mailing address
504 N 13TH ST, ROGERS, AR 72756-3432
(479) 636-0500
(479) 636-6161
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
—
—
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2009
Last updated
10/23/2009
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