Organization
NORTHERN CALIFORNIA CANCER CENTER
Active
Organization
NORTHERN CALIFORNIA CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT MICHAEL WILLIAMS M.D., PH.D. (CHARIMAN/CEO)
(209) 544-0120
Entity
Organization
Contact information
Practice address
1541 FLORIDA AVE, SUITE 306, MODESTO, CA 95350-4429
(209) 544-0120
(209) 544-0130
Mailing address
1541 FLORIDA AVE, SUITE 306, MODESTO, CA 95350-4429
(209) 544-0120
(209) 544-0130
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
G75542
CA
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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