Arkansas Cancer Clinic - Radiation Oncology, PA
Organization Active NPI Specialist · Pine Bluff, AR
NPI 1043495286 · NPPES record last updated Jan 7, 2008
Key facts
- NPI
- 1043495286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- E3352 (AR)
- Legal business name
- ARKANSAS CANCER CLINIC - RADIATION ONCOLOGY, PA
- Practice address
- 7200 S Hazel St
Pine Bluff, AR 71603-7836 - Phone
- (870) 535-2800
- NPI assigned
- Jan 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Robin Cope
- Title
- Business Office Manager
- Phone
- (870) 535-2800
National Provider Directory
Locations
7200 S Hazel St
Pine Bluff, AR 71603
Phone (870) 534-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | E3352 | AR | Yes |
Addresses
Primary practice location
7200 S Hazel St
Pine Bluff, AR 71603-7836
Mailing address
7200 S Hazel St
Pine Bluff, AR 71603-7836
Phone (870) 535-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427148097 | Medicaid | AR |
Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.