Organization · Type 2 NPI

Siouxland Regional Cancer Center

Hematology & Oncology Physician · Sioux City, IA

NPI number 1114904604 Active

Practice location

230 Nebraska St
Sioux City, IA 51101-1733

Fax (712) 252-9404

Mailing address

PO Box 5017
Sioux City, IA 51102-5017

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Radiation Oncology Physician 2085R0001XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Hematology & Oncology Physician: 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.

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About NPI 1114904604

Siouxland Regional Cancer Center's National Provider Identifier is 1114904604, issued on Dec 27, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Sioux City, IA. The record was last updated on Jun 24, 2019.