Organization
MOBILECARE
Active
Parent organization
SITUS CANCER RESEARCH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
SITUS CANCER RESEARCH CENTER
Authorized official
DR. J W BOLT PHD (EXEC DIR)
(479) 636-0500
Entity
Organization
Contact information
Practice address
1222 W POPLAR ST, ROGERS, AR 72756-4246
(479) 636-0500
(479) 636-6161
Mailing address
1222 W POPLAR ST, ROGERS, AR 72756-4246
(479) 636-0500
(479) 636-6161
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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