Organization
ONCORDIS CLINIC AT CANCER TREATMENT CENTERS OF AMERICA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICH HALDEMAN (AUTHORIZED OFFICIAL)
(918) 286-5502
Entity
Organization
Contact information
Practice address
10153 EAST 79TH STREET, TULSA, OK 74133
(918) 286-5502
Mailing address
PO BOX 33069, TULSA, OK 74153-1069
(918) 286-5502
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
06/18/2015
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