Organization
ARKANSAS CANCER CLINIC, PA
Active
Other names
Arkansas Cancer Institute
Organization subpart
No
Provider details
NPI number
Authorized official
OMAR TAIMOOR ATIQ MD (PRESIDENT)
(870) 535-2800
Entity
Organization
Contact information
Practice address
7200 SOUTH HAZEL, PINE BLUFF, AR 71603
(870) 535-2800
(870) 535-2801
Mailing address
PO BOX 8906, PINE BLUFF, AR 71611
(870) 535-2800
(870) 535-2801
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RH0003X
Hematology & Oncology Physician
Primary
R4174
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119286002
—
AR
Enumeration date
04/21/2006
Last updated
12/17/2009
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