Organization
COLUMBIA COMPREHENSIVE CANCER CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI KHOJASTEH MD (OWNER)
(573) 442-6800
Entity
Organization
Contact information
Practice address
500 N KEENE ST, SUITE 202, COLUMBIA, MO 65201-8104
(573) 442-6800
(573) 449-4943
Mailing address
500 N KEENE ST, SUITE 202, COLUMBIA, MO 65201-8104
(573) 442-6800
(573) 449-4943
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
R9764
MO
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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