Organization · Type 2 NPI

Comprehensive Cancer Care, PC

Hematology & Oncology Physician · St. Louis, MO

NPI number 1629304423 Active

Practice location

12855 N 40 Dr, Suite 200
St. Louis, MO 63141-8657

Call (314) 443-6465 Map

Mailing address

PO Box 190820
St. Louis, MO 63119-6820

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X112773 (MO)

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 1629304423

Comprehensive Cancer Care, PC's National Provider Identifier is 1629304423, issued on Oct 29, 2009. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in St. Louis, MO. The record was last updated on Dec 7, 2009.