Organization
CANCER CARE GROUP P.C.
Active
Other names
Johnson Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS C DUGAN M.D. (PRESIDENT)
(317) 715-1800
Entity
Organization
Contact information
Practice address
1159 W JEFFERSON ST, FRANKLIN, IN 46131-2794
(317) 736-3346
Mailing address
6100 W 96TH ST, SUITE 125, INDIANAPOLIS, IN 46278-6005
(317) 715-1800
(317) 715-6200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
50004183A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200259350
—
IN
05
—
200897640
—
IN
Enumeration date
11/12/2008
Last updated
11/12/2008
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