Organization
MUSKOGEE CANCER CLINIC INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANI GEORGE JUMEAN MD FRCP FACP (OWNER PRESIDENT)
(918) 686-8500
Entity
Organization
Contact information
Practice address
3206 W OKMULGEE AVE, MUSKOGEE, OK 74401
(918) 686-8500
(918) 686-8900
Mailing address
3206 W OKMULGEE AVE, MUSKOGEE, OK 74401
(918) 686-8500
(918) 686-8900
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
18238
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393783545002
BCBS OF OK
OK
Enumeration date
11/13/2007
Last updated
11/13/2007
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