Organization
CANCER CARE GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A FREELAND (CEO)
(317) 715-1800
Entity
Organization
Contact information
Practice address
801 N STATE ST, STE 50, GREENFIELD, IN 46140-1270
(317) 325-2273
(317) 325-2777
Mailing address
6100 W 96TH ST, STE 125, INDIANAPOLIS, IN 46278-6005
(317) 715-1800
(317) 715-6200
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
50004183A
IN
2085R0001X
Radiation Oncology Physician
Primary
50004183A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200259350
—
IN
Enumeration date
11/06/2014
Last updated
11/06/2014
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