NPI:
1578712675
Provider Name:
CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
Former Legal Business Name: SOUTHWEST OKLAHOMA CANCER CENTER, L.L.C.
Classification:
Internal Medicine - 207RH0003X
Entity Type:
Organization
Specialization: Hematology & Oncology
CLIA Number: 37D2113738
Address:
2110 DUNCAN REGIONAL LOOP
DUNCAN, OK
ZIP 73533
Phone:
(580) 251-6600
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CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC is a hematology and oncology internal medicine in Duncan, OK. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC NPI is 1578712675. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Southwest Oklahoma Cancer Center, L.l.c..
The provider's business location address is:
2110 DUNCAN REGIONAL LOOP
DUNCAN, OK
ZIP 73533-568
Phone: (580) 251-6600
Fax: (580) 251-6627
The provider's authorized official is James L Hooton .
The authorized official title is Chief Operating Officer and has the following contact phone number (580) 536-2121.
The CLIA number assigned to this NPI record is 37D2113738 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 9/12/2008 and was last updated on 1/27/2012.