NPI:
1609041136
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: 37D0472148
Address:
1200 E BROADWAY ST
ALTUS, OK
ZIP 73521
Phone:
(580) 480-4400
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CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC is a hematology and oncology internal medicine in Altus, 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 1609041136. 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:
1200 E BROADWAY ST
ALTUS, OK
ZIP 73521-702
Phone: (580) 480-4400
Fax: (580) 480-4416
The provider's authorized official is James L Hooton .
The authorized official title is Cheif Operating Officer and has the following contact phone number (580) 536-2121.
The CLIA number assigned to this NPI record is 37D0472148 - hospital with a certificate type of Certificate of Accreditation.
The enumeration date for this NPI number is 4/25/2008 and was last updated on 1/27/2012.