Organization
ONCOLOGY AND HEMATOLOGY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDWINA D RAINS (ADMINISTRATOR)
(417) 782-7722
Entity
Organization
Contact information
Practice address
2727 MCCLELLAND BLVD, SUITE 1, JOPLIN, MO 64804-1626
(417) 782-7722
(417) 782-4547
Mailing address
PO BOX 2786, JOPLIN, MO 64803-2786
(417) 782-7722
(417) 782-4547
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503417008
—
MO
Enumeration date
11/01/2006
Last updated
03/17/2010
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