Organization
SOUTH TULSA ONCOLOGY PROFESSIONALS CANCER ASSOCIATES
Active
Other names
STOP Cancer Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER EDWIN WATTS IV M.D. (OWNER/RADIATION ONCOLOGIST)
(918) 240-9496
Entity
Organization
Contact information
Practice address
13217 S 65TH EAST PL, BIXBY, OK 74008-3846
(918) 240-9496
Mailing address
13217 S 65TH EAST PL, BIXBY, OK 74008-3846
(918) 240-9496
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
27100
OK
2085R0001X
Radiation Oncology Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/27/2017
Last updated
01/30/2021
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