Organization
MARION REGIONAL CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE WEIR (EXECUTIVE DIRECTOR)
(740) 387-7200
Entity
Organization
Contact information
Practice address
1150 CRESCENT HEIGHTS RD, MARION, OH 43302-6406
(740) 387-6722
Mailing address
PO BOX 182255, COLUMBUS, OH 43218-2255
(614) 430-5712
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365106
ANTHEM BCBS
OH
05
—
2549004
—
OH
Enumeration date
12/21/2005
Last updated
07/21/2022
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