Organization
ABBEN CANCER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J BUMGARNER (CHIEF EXECUTIVE OFFICER)
(712) 264-6111
Entity
Organization
Contact information
Practice address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6550
Mailing address
1200 1ST AVE E, SPENCER, IA 51301-4330
(712) 264-6111
Taxonomy
Speciality
Code
Description
License number
State
261QX0203X
Radiation Oncology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159830
—
IA
05
—
1990903
—
IA
Enumeration date
02/14/2007
Last updated
02/17/2017
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