Organization · Type 2 NPI

SSM Cancer Care, Inc

Hematology & Oncology Physician · Lake St. Louis, MO

NPI number 1487963179 Active

Practice location

400 Medical Plz, Suite 100
Lake St. Louis, MO 63367-1490

Call (636) 639-8600 Map

Fax (636) 639-8676

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003XNone listed
Radiation Oncology Physician 2085R0001XNone 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 1487963179

SSM Cancer Care, Inc's National Provider Identifier is 1487963179, issued on Sep 29, 2010. 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 Jan 25, 2016.