Organization
ONCOLOGY-HEMATOLOGY ASSOCIATES OF SPRINGFIELD, MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E HART (ADMINISTRATOR)
(417) 882-4880
Entity
Organization
Contact information
Practice address
3850 S NATIONAL AVE, SUITE 600, SPRINGFIELD, MO 65807-5287
(417) 882-4880
(417) 882-7213
Mailing address
3850 S NATIONAL AVE, SUITE 600, SPRINGFIELD, MO 65807-5287
(417) 882-4880
(417) 882-7213
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0628420001
DMERC
MO
05
—
501436703
—
MO
01
—
CP9133
RAILROAD MEDICARE
MO
Enumeration date
08/09/2006
Last updated
11/29/2007
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