Organization
CANCER CARE SPECIALISTS P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LYNCH D.O. (D.O.)
(870) 972-4510
Entity
Organization
Contact information
Practice address
225 E JACKSON AVE, JONESBORO, AR 72401-3119
(870) 972-4510
Mailing address
PO BOX 26706, SECTION #3111, OKLAHOMA CITY, OK 73126-0706
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
E2457
AR
2085R0001X
Radiation Oncology Physician
Primary
R4434
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD2585
RAILROAD MEDICARE
AR
Enumeration date
06/18/2006
Last updated
01/30/2008
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