Organization
LANDMARK CANCER CENTER GP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA D. SOOTER (OWNER)
(972) 573-4611
Entity
Organization
Contact information
Practice address
301 N 32ND ST, MUSKOGEE, OK 74401-2106
(918) 683-2000
(918) 686-0554
Mailing address
PO BOX 678015, DALLAS, TX 75267-8015
(918) 683-2000
(918) 686-0554
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
28969
OK
Other
Enumeration date
06/03/2013
Last updated
07/22/2015
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