Organization · Type 2 NPI
Missouri Cancer Care PC
Hematology & Oncology Physician · Lake St. Louis, MO
Practice location
400 Medical Plaza, Suite 100
Lake St. Louis, MO 63367
Fax (636) 639-8665
Mailing address
1078 Wentzville Parkway
Wentzville, MO 63385
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hematology & Oncology Physician Primary | 207RH0003X | None listed |
| Radiation Oncology Physician | 2085R0001X | None 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.
Another provider at this address
Other hematology & oncology physician providers in Lake St. Louis
About NPI 1326107871
Missouri Cancer Care PC's National Provider Identifier is 1326107871, issued on Dec 8, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Lake St. Louis, MO. The record was last updated on Dec 10, 2008.