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Organization

COMPREHENSIVE CANCER CARE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARY M KLIX MD (OWNER)
(314) 443-6465
Entity
Organization

Contact information

Practice address
12855 N 40 DR, SUITE 200, SAINT LOUIS, MO 63141-8657
(314) 443-6465
Mailing address
PO BOX 190820, SAINT LOUIS, MO 63119-6820
(314) 443-6465

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
112773
MO

Other

Enumeration date
10/29/2009
Last updated
12/07/2009
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