Organization
CANCER CARE GROUP P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN A FREELAND (CEO)
(317) 715-1800
Entity
Organization
Contact information
Practice address
24 SIX PINE RANCH RD, BATESVILLE, IN 47006-1399
(317) 715-1800
(317) 715-6200
Mailing address
6100 W 96TH ST, 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
05
—
201055990
—
IN
Enumeration date
07/25/2014
Last updated
07/25/2014
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