Organization
COUNTY ONCOLOGIST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN OSWALD CARDEN M.D. (PRESIDENT)
(314) 355-8200
Entity
Organization
Contact information
Practice address
11125 DUNN RD, SUITE 108, SAINT LOUIS, MO 63136-6132
(314) 355-8200
(314) 355-4582
Mailing address
11125 DUNN ROAD, SUITE 108, SAINT LOUIS, MO 63136
(314) 355-8200
(314) 355-4582
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
34924
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201892601
—
MO
Enumeration date
12/31/2009
Last updated
12/31/2009
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