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Organization

HEMATOLOGY & ONCOLOGY CONSULTANTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CAROLYNNE RENEA PARKER (CLINIC COORDINATOR)
(402) 572-3529
Entity
Organization

Contact information

Practice address
800 MERCY DR, SUITE 10, COUNCIL BLUFFS, IA 51503-3128
(712) 388-2810
(712) 388-2812
Mailing address
PO BOX 641850, OMAHA, NE 68164-7850
(402) 572-3529
(402) 572-2892

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
23365
IA
207RH0003X
Hematology & Oncology Physician
23373
IA
207RH0003X
Hematology & Oncology Physician
Primary
32052
IA
207RH0003X
Hematology & Oncology Physician
32519
IA
207RH0003X
Hematology & Oncology Physician
33127
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0747394
IA
01
16D0968649
CLIA NUMBER
IA
01
CI2145
RAILROAD MEDICARE
IA
Enumeration date
11/13/2006
Last updated
09/04/2008
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